Posteriore lamelläre Keratoplastik (DSAEK)

Der Ophthalmologe - Tập 106 - Trang 939-954 - 2009
C. Cursiefen1, F.E. Kruse1
1Augenklinik mit Poliklinik, Friedrich-Alexander Universität Erlangen-Nürnberg, Erlangen, Deutschland

Tóm tắt

Die perforierende Keratoplastik stellte bisher die Standardtechnik zur Therapie endothelialer Hornhauterkrankungen dar. In den letzten Jahren wurde jedoch die Methode der posterioren lamellären Keratoplastik (mittels Descemet-Stripping und Mikrokeratom, DSAEK) revolutioniert, was anhand einer Literaturübersicht aus PUBMED und eigenen klinischen und experimentellen Daten verdeutlicht wird. DSAEK erlaubt die zuverlässige Therapie endothelialer Hornhauterkrankungen. Visusanstieg und Wundheilung verlaufen deutlich schneller als nach perforierender Keratoplastik, der endgültige Visus erscheint im Vergleich jedoch etwas reduziert. Posteriore lamelläre Keratoplastiktechniken wie DSAEK könnten sich mittelfristig zum Standardverfahren der Therapie endothelialer Hornhauterkrankungen entwickeln.

Tài liệu tham khảo

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