LAYER SPECIFIC KERATOPLASTY
Christopher J. Rapuano, MD & Sadeer B. Hannush, MD
After decades of offering one procedure, penetrating keratoplasty, for all visually significant corneal abnormalities, we now have an array of keratoplasty procedures specifically targeting the affected area of the cornea. Deep Anterior Lamellar Keratoplasty (DALK) is ideal for corneal opacities and ectasias not involving the posterior-most layers, while endothelial keratoplasty (DSAEK and DMEK) is best suited for eyes with corneal endothelial dysfunction. Penetrating keratoplasty still has a role, when all layers of the cornea are affected. Keratoprosthesis surgery is indicated when the surgeon feels that other forms of keratoplasty have a very low likelihood of success.
At the conclusion of this conference, participants should be able to:
- Identify the procedure of choice for the presenting corneal abnormality
- Discuss the indications, contraindications, advantages, and limitations of the various lamellar keratoplasty procedures
- Describe the clinical indications that might make one endothelial keratoplasty procedure more suited for the needs of the patient over an another
- Identify the still present indications for full-thickness corneal transplantation
- Review special considerations for permanent keratoprosthesis surgery
Wills Eye Hospital Faculty
Brandon D. Ayres, MD
Kristin M. Hammersmith, MD
Alex V. Levin, MD, MHSc, FRCSC
Beeran B. Meghpara, MD
Parveen K. Nagra, MD
Irving M. Raber, MD
The Wills Eye Hospital is accredited by the ACCME to provide continuing medical education for physicians.
The Wills Eye Hospital designates this live educational activity for a maximum of 3.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Full Disclosure Policy
All faculty participating in continuing medical education programs sponsored by Wills Eye Hospital are expected to disclose to the program audience any real or apparent conflict(s) of interest related to the content of their presentation(s). Full disclosure will be made at the program.
If you have any questions, please contact the Wills Eye Hospital Department of CME at 215.440.3169 or firstname.lastname@example.org