Endokeratoplasty

Endokeratoplasty . Endothelial transplant , also called posterior lamellar, is performed by replacing the last layer of the recipient’s cornea with that from a donor.

Summary

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  • 1 Indications
  • 2 Postoperative treatment protocol
  • 3 Follow-up
  • 4 Sources

Indications

  • Keratopathy pseudophakic bullous / aphakic.
  • Corneal rejection in penetrating keratoplasty.
  • Fuchs’ dystrophy .

Postoperative treatment protocol

  • Generally outpatient procedure.
  • The morning after surgery:

Antibiotic eye drops , 1 drop every 4 hours during the first week.

Topical steroids: dexamethasone or prednisolone acetate 0.1% (eye drops) 1 drop every 2h, for 15 days; then every 4 h, up to 6 months.

Fluorometalone , 1 drop every 8 h, the second semester of surgery .

Tracing

  • In cases of evolution without complications, follow-up is maintained in consultation at 24 h, 7, 15 days, 1, 3, 6 and 12 months. From the year it is evaluated annually.
  • At each consultation, the patient is examined in a slit lamp and the state of the endothelium , transparency of the receiving cornea, anterior segment and ocular tension are evaluated .
  • Visual acuity begins to be evaluated from 6 months.

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