Three reasons for adopting DMEK in routine EK casesUsing the Descemet’s membrane endothelial keratoplasty (DMEK) procedure can produce better visual results and lower risk of rejection than using the previous methods (DLEK and DSAEK). The method has become easier to learn and use than in the past, and should be considered as the primary EK procedure for most routine cases of endothelial failure.
Managing treatment options for atopic keratoconjunctivitisEye or eyelid involvement in atopic dermatitis is relatively uncommon. However, the frequency and severity of corneal complications may accompany atopic keratoconjunctivitis and lead to vision loss. In all but the mildest cases of AKC, treatment typically consists of corticosteroids; calcineurin inhibitors may be added in more severe cases.
Risk review supports safety of corneal crosslinkingSevere complications are rare (< 1%) after corneal crosslinking for progressive keratoconus. Some are preventable, some are manageable, but some may lead to a need for corneal transplantation
Regenerative cell therapy, tissue engineering are future treatments
Regenerative cell therapy, tissue engineering are future treatmentsAdvances in endothelial and anterior lamellar keratoplasty have given it distinct advantages over penetrating keratoplasty, in corneal replacement. However, there are variations in outcomes from different centers. Moving forward, regenerative cell therapy and tissue engineering will be the future treatments of endothelial disease.
5 rules to repair DALK rupturesWorried about rupture during a deep anterior lamellar keratoplasty (DALK)? You may be overreacting. While rupture is the most common complication of DALK, its repair is not as difficult as commonly thought.
Handheld polarizing filter augments corneal imaging with simple approachUse of a handheld circular polarizing filter to intercept afferent and efferent light from a slit lamp or operating microscope highlights corneal structures that are otherwise invisible or barely seen.
Performing femtosecond laser-assisted keratoplasty for keratoconusA retrospective study evaluating outcomes in patients with keratoconus found that when compared to femtosecond laser-enabled keratoplasty (FLEK), femtosecond laser deep anterior lamellar keratoplasty (FsDALK) had similar overall visual and refractive outcomes with a statistically significant lower overall graft rejection rate.
Collagen corneal cross-linking for keratoconusThe recently approved procedure will help many with this progressive disease
Clinical implications of corneal cross-linkingNow that we have CXL , it is imperative for clinicians to incorporate new technologies that can help us achieve disease detection at the earliest clinical stage prior to onset of visual symptoms.
Fungal infections after keratoplasty on upswingPost-keratoplasty fungal infections are becoming increasing more common, and the risk is significantly higher after DSEK compared with PK.