Thus this book impressively reflects many years of surgi A successful penetrating keratoplasty has many prerequi sites, for example suitable donor tissue, careful harvesting cal experience and can impart this to younger operating v of the donor eye and donor cornea, the possibility of suit surgeons and many colleagues who assist in the care of able short-term conservation, an atraumatic transplant the patients. technique using modern corneoscleral trephination instru Since the key to long-term visual rehabilitation of kerato ments as well as a problem-orientated perioperative phar plasty patients can be found in the knowledge presented macotherapy. All of these factors contribute to the here, we hope this book will enjoy the largest possible cir immediate success of the operation. More decisive for the culation. long-term success of the transplant and therefore more One is unable to conclude this preface without a word of thanks from the Department of Ophthalmology of the Uni important for the patient is, however, the early recognition versity of Cologne to the author for the many years during of immunogenic and non-immunogenic complications which she directed the keratoplasty consultation service. from the moment of the patient's discharge from hospital. In view of the multitude of interactions between the recipi These thanks are also in the name of our patients who ent eye and the donor cornea there is a complex spectrum benefited from her expert care.

"DSEK: What You Need to Know About Endothelial Keratoplasty provides a comprehensive background of EK, where it is today, and where it is headed in the future. Francis W. Price, MD. who was the first to complete DSEK in the United States, along with Marianne Price, PhD, have designed this text to offer a special emphasis on how to perform surgeries along with preventing and managing complications. In addition, a diverse group of contributing authors provides a wide array of insights and tips for better patient outcomes."--BOOK JACKET.

The Novartis Foundation Series is a popular collection of the proceedings from Novartis Foundation Symposia, in which groups of leading scientists from a range of topics across biology, chemistry and medicine assembled to present papers and discuss results. The Novartis Foundation, originally known as the Ciba Foundation, is well known to scientists and clinicians around the world.

Corneal transplantation is a widely practised surgical procedure. Lamellar techniques are favoured replacing penetrating keratoplasty (PK). Endothelial keratoplasty (EK) has been adapted as an alternative in the treatment of corneal endothelial disorders whereby Descemet’s membrane and the endothelium are replaced. Pre-Descemet’s endothelial keratoplasty (PDEK) is the latest surgical technique for corneal transplantation. This book is a step by step guide to PDEK for practising ophthalmologists. Divided into five sections, the text begins with the basics explaining corneal anatomy, pre-operative assessment, general techniques in keratoplasty, and the principles of PDEK. The following chapters discuss surgical techniques, special situations, and complications and results. The text covers numerous clinical scenarios and concludes with a section on miscellaneous topics such as OCT guided PDEK, eye bank preparation, and cosmetic iris implant complications. The text is further enhanced by surgical photographs and includes an interactive DVD ROM demonstrating PDEK techniques. Key points Step by step guide to Pre-Descemet’s endothelial keratoplasty (PDEK) Explains surgical techniques for numerous clinical scenarios Includes miscellaneous topics such as OCT guided PDEK and cosmetic iris implant complications Accompanying DVD ROM demonstrates PDEK techniques

Deep anterior lamellar keratoplasty (DALK) is the mainstay of treatment for corneal pathologies sparing the endothelium. This lamellar surgery has undergone a revolution in the past decades. Various techniques and their modifications have been described to make it safe and reproducible so that it can be performed not only by experts but also the novice corneal transplant surgeons. This book describes the evolution of DALK, indications, preoperative evaluation, the various methods of performing DALK and the postoperative outcomes. The issues related to procurement of donor corneas for such cases are discussed. The "different strokes" in DALK include the conventional Melles and the "Big bubble" technique and also the newer modifications such as "Double bubble" technique, cannula assisted DALK, groove and peel technique as well as diamond blade-guided DALK. The different types of modifications presented by eminent lamellar corneal transplant surgeons from all over the world, in this book are an endeavor to make DALK feasible by all corneal transplant surgeons.

Ocular Surface Disease: Cornea, Conjunctiva and Tear Film incorporates current research and the latest management strategies as well as classification systems and treatment paradigms for all forms of ocular surface disease. This is the first comprehensive resource that helps you to meet ocular surface disease challenges effectively using today's best medical and surgical approaches. Get the complete, evidence-based guidance you need to provide optimal care for your patients with ocular surface disease. Implement the latest drug treatments and surgical interventions to provide better outcomes with fewer complications. Hone and expand your surgical skills by watching videos of leading experts performing advanced procedures including ocular surface transplantation techniques; amniotic membrane transplantation; pterygium surgery; lamellar keratoplasty (DALK) in ocular surface disease; and keratoprosthesis surgery. Visualize how to proceed by reviewing detailed, full-color images and consulting new classification systems and treatment paradigms for mild to severe forms of ocular surface disease. Take it with you anywhere! Access the full text, downloadable image library, video clips, and more online at expertconsult.com.

State-of-the-art book provides hands-on guidance on the latest endothelial keratoplasty techniques A significant number of eye disorders result from deficiencies in the endothelial layer of the cornea. Endothelial keratoplasty (EK) helps spare patients from months of refractive adjustments, lengthy recovery, complications, and poor outcomes associated with full-thickness penetrating keratoplasty. This newer methodology is based on more selective transplantation of cells and is less invasive, resulting in quicker recovery and more efficacious outcomes. Contributors are world-renowned pioneers who are front and center in implementing innovative, sight-restoring techniques that continue to change the ophthalmic surgery landscape. In the first section, a solid foundation is laid with discussion of anatomy, the history of EK, clinical aspects of endothelial cell dysfunction, and clinico-pathology. Subsequent sections cover surgical procedures, special topics, surgical outcomes, complications, and future trends. Readers will gain invaluable insights from clinical pearls throughout the book, gleaned from hands-on experience by leading experts in the field of ocular surgery. Key Features: A large compendium of high-quality videos demonstrate cutting-edge approaches Richly illustrated with 400 images that further delineate anatomy and techniques Anterior segment surgery advances including Descemet's stripping endothelial keratoplasty (DSEK), predescemet's endothelial keratoplasty (PDEK), ultrathin DSEK, Descemet's membrane endothelial keratoplasty (DMEK), and trocar anterior chamber maintainer Treatment of conditions such as pseudophakic bullous keratopathy and Fuchs' dystrophy Management of complicated cases including glued IOL, cataract extraction & IOL implantation, glaucoma, failed grafts, and scarred corneas This book is a stellar resource on the surgical management of patients with corneal disease. It will benefit both trainees and practicing ophthalmologists - and is a must-have for specialists who perform corneal surgery.