Hong Kong Med J 2012;18:509–16 | Number 6, December 2012
A new era in corneal transplantation: paradigm shift and evolution of techniques
Alvin L Young, KW Kam, Vishal Jhanji, Lulu L Cheng, Srinivas K Rao
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
Penetrating keratoplasty is the replacement of a diseased cornea with a full-thickness donor graft. In the last century, this 'gold standard' procedure was long established as the treatment of choice for various corneal diseases. The classical indications for a penetrating keratoplasty entailed optical, tectonic, therapeutic, and cosmetic issues. Over the past decade however, surgical advances have now enabled operations involving the cornea to be performed with a major shift in emphasis, such that penetrating keratoplasty has given way to lamellar (layered) keratoplasty. This review provides the latest updates on developments in the field of corneal transplantation and the nomenclature of different types of component surgery, particularly from the perspective of Hong Kong.
Key words: Corneal transplantation; Descemet stripping endothelial keratoplasty; Graft survival; Keratoplasty, penetrating
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