We routinely use Descemet’s Membrane Endothelial Keratoplasty, the latest iteration of endothelial keratoplasty, for our patients with endothelial dysfunction.
In our practice, Descemet’s Stripping Automated Endothelial Keratoplasty is reserved for patients that are poor candidates for DMEK.
This is a variant of DSAEK where two cuts are made of the donor tissue to yield even thinner (50-100 microns) posterior discs for endothelial keratoplasty.
The big bubble technique is our preferred way to do deep anterior lamellar keratoplasty.
Superficial anterior lamellar keratoplasty is performed for pathology located very anteriorly in the cornea.
In our practice, a full-thickness keratoplasty is done in patients with pathology involving all layers of the cornea.
A keratoprosthesis can be performed for full-thickness (Boston KPro) and lamellar (KeraKlear KPro) cases.
This procedure is done to remove superficial corneal pathology.