keratoplasty - definition. What is keratoplasty
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SURGICAL PROCEDURE
Keratoplasty; Penetrating keratoplasty; Corneal graft; Corneal transplant; Penetrating keratoplasty surgery; Cornea transplant; Cornea transplantation; Eye transplantation; Eye donation; Descemet's membrane endothelial keratoplasty; DMEK; Descemet's Membrane Endothelial Keratoplasty; Corneal grafting
  • Cornea transplant one day after surgery.
  • Boston Kpro type 1 titanium posterior plate
  • Cornea transplant after one year of healing, two stitches are visible
  • Eduard Zirm
  • Replacement of the entire cornea
  • Spanish-born eye surgeon [[Ramón Castroviejo]] successfully performed keratoplasty as early as 1936.

keratoplasty         
['k?r?t?(?)?plasti]
¦ noun Medicine surgery carried out on the cornea, especially corneal transplantation.
Conductive keratoplasty         
REFRACTIVE SURGERY OF THE CORNEA USING RADIO FREQUENCY
Conductive Keratoplasty
Conductive keratoplasty (CK) is a type of refractive surgery that uses radio waves to adjust the contour of the cornea by shrinking the corneal collagen around it. It is used to treat mild to moderate hyperopia.
Pre-Descemet's endothelial keratoplasty         
  • Fig 5 : Pre Descemets Endothelial Keratoplasty in young donor. In this 25 micron from a young or infant donor eye is transplanted into an adult and makes the adult eye see. On the left note the adult eye before Pre Descemets Endothelial Keratoplasty surgery . The eye is white and patient cannot see. On the right is same patient after Pre Descemets Endothelial Keratoplasty surgery using a young donors 25 micron corneal tissue . Note the clear eye and patient can see the last line on the vision testing.
  • Fig 2 : Pre-Descemet's endothelial keratoplasty (PDEK). A, B: A 30 gauge needle is introduced into the centre of the cornea and air is injected.  A big bubble is formed in the donor cornea on the endothelial side and it is pierced with Knife. C, D: Graft is stained or coloured by Trypan blue dye and dissected out.
  • Fig 1 : Photograph shows the normal layers of the cornea from front to back (Epithelium, Bowman's layer, Stroma, Predescemet's layer, Descemet's membrane and Endothelium).
  • Fig 4 : Pre Descemets Endothelial Keratoplasty - the latest technique of corneal eye transplantation Photograph of a patient with corneal haziness due to endothelial damage with lens displaced before surgery (left) and the same patient after 6 months of PDEK with glued IOL surgery (Right). Note the white cornea is becoming clear (right). (Below) Anterior segment optical coherence tomography scan showing good adhesion of the graft on the inner side of cornea.
  • Fig 3 : Graft injection into the host bed in combined PDEK with glued IOL. A: A central Big bubble formed in the donor cornea by pushing air into the cornea B,C: Flaps are made in the white sclera, IOL is inserted into the eye and the arms or haptics of the IOL is pulled out of the eye and attached to the white sclera in a tunnel and then glue is applied. The patient's damaged posterior part of cornea (descemet's membrane with endothelium) peeled manually. D: PDEK graft pushed into the eye under saline and opened. Endoilluminator or external light source is used to confirm the orientation of the graft. E, F: Donor graft is attached to the host stroma by air injection below the graft without sutures.
TYPE OF CORNEAL TRANSPLANT
Pre-Descemet's Endothelial Keratoplasty (PDEK); Pre-Descemet's Endothelial Keratoplasty
Pre Descemet's endothelial keratoplasty (PDEK) is a kind of endothelial keratoplasty, where the pre descemet's layer (PDL) along with descemet's membrane (DM) and endothelium is transplanted. Conventionally in a corneal transplantation, doctors use a whole cornea or parts of the five layers of the cornea to perform correction surgeries.

ويكيبيديا

Corneal transplantation

Corneal transplantation, also known as corneal grafting, is a surgical procedure where a damaged or diseased cornea is replaced by donated corneal tissue (the graft). When the entire cornea is replaced it is known as penetrating keratoplasty and when only part of the cornea is replaced it is known as lamellar keratoplasty. Keratoplasty simply means surgery to the cornea. The graft is taken from a recently deceased individual with no known diseases or other factors that may affect the chance of survival of the donated tissue or the health of the recipient.

The cornea is the transparent front part of the eye that covers the iris, pupil and anterior chamber. The surgical procedure is performed by ophthalmologists, physicians who specialize in eyes, and is often done on an outpatient basis. Donors can be of any age, as is shown in the case of Janis Babson, who donated her eyes after dying at the age of 10. Corneal transplantation is performed when medicines, keratoconus conservative surgery and cross-linking can no longer heal the cornea.

This surgical procedure usually treats corneal blindness, with success rates of at least 41% as of 2021.