Causes and treatment of complications in different stages of endothelial keratoplasty

Authors: Dong Yueyan,  Zhang Hong
DOI: 10.3760/cma.j.cn115989-20200107-00009
Published 2022-02-10
Cite asChin J Exp Ophthalmol, 2022, 40(2): 178-182.

Abstract

As an ideal surgical method for treating corneal endothelial decompensation, endothelial keratoplasty has been widely applied.It has many advantages, but there are also complications during graft preparation, intraoperative operation and postoperative recovery.The two common types of corneal endothelial keratoplasty, Descemet-stripping automated endothelial keratoplasty and Descemet membrane endothelial keratoplasty, were taken as examples in this article to introduce the treatment of complications during graft preparation, such as graft perforation and graft tear, intraoperative complications, for instance, difficulty in expanding graft and graft inversion, postoperative complications including graft detachment, high intraocular pressure, etc.The incidence of complications at different stages of endothelial keratoplasty, influencing factors and treatment methods were reviewed to provide a reference for clinicians to diagnose and treat complications of endothelial keratoplasty at various stages.

Key words:

Descemet stripping endothelial keratoplasty; Descemet membrane endothelial keratoplasty; Complications; Treatment

Contributor Information

Dong Yueyan

Eye Hospital, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China

Zhang Hong

Eye Hospital, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China

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