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Klin Monbl Augenheilkd 2021; 238(08): 881-884
DOI: 10.1055/a-0838-6032
Editorial

Is There a Cutoff in Favor of Penetrating Keratoplasty Rather than Endothelial Keratoplasty for Long-Standing Endothelial Decompensation?

Gibt es einen Cutoff zugunsten der penetrierenden Keratoplastik anstatt einer endothelialen Keratoplastik bei einer anhaltenden endothelialen Dekompensation?
Bennie H. Jeng
Ophthalmology and Visual Sciences, University of Maryland School of Medicine, Baltimore, Maryland, United States
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Abstract

Endothelial keratoplasty (EK) has evolved to become the standard of care over traditional penetrating keratoplasty (PK) for treating isolated corneal endothelial disease. EK provides numerous advantages including faster, more reliable visual rehabilitation, along with a lower allograft rejection rate. There are some situations, however, in which EK may not necessarily be the best option, and PK should at least be considered. In such situations, a careful weighing and balancing needs to be done in conjunction with the patient.

Zusammenfassung

Die endotheliale Keratoplastik (EK) hat sich zum Therapiestandard entwickelt und wird bei der Behandlung der isolierten endothelialen Erkrankung der Hornhaut der herkömmlichen penetrierenden Keratoplastik (PK) vorgezogen. Die EK bietet zahlreiche Vorteile, darunter eine schnellere und zuverlässigere visuelle Rehabilitation sowie eine geringere Abstoßungsrate des Allotransplantats. Es gibt aber einige Situationen, in denen die EK nicht unbedingt die bessere Option darstellt und eine PK wenigstens in Betracht gezogen werden sollte. In solchen Situationen müssen die Vor- und Nachteile zusammen mit dem Patienten sorgfältig abgewogen werden.

Key words

endothelial keratoplasty - penetrating keratoplasty - graft rejection

Schlüsselwörter

endotheliale Keratoplastik - penetrierende Keratoplastik - Transplantatabstoßung


Publication History

Received: 03 December 2018

Accepted: 09 January 2019

Article published online:
10 October 2019

© 2019. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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