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
[ hide ]
- 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 0.1% prednisolone acetate (eye drops) 1 drop every 2h, for 15 days; then every 4 h, up to 6 months.
Fluorometalone , 1 drop every 8 hours, 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.
- In 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.
