[带自动内皮角膜移植术的后弹力层剥除术（DSAEK）]
[Descemet's stripping with automated endothelial keratoplasty (DSAEK)].
作者信息
Cursiefen C, Kruse F E
机构信息
Augenklinik mit Poliklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Schwabachanlage 6, 91054, Erlangen, Germany.
出版信息
Ophthalmologe. 2008 Feb;105(2):183-90, 192. doi: 10.1007/s00347-007-1680-0.
BACKGROUND
Although penetrating keratoplasty remains the gold standard for surgically treating corneal endothelial pathologies, tremendous progress has been made in recent years to improve the technology of (posterior) lamellar keratoplasty.
METHODS
Literature review from PubMed and own data.
RESULTS
Posterior lamellar keratoplasty using a microkeratome (Descemet's stripping with automated endothelial keratoplasty, or DSAEK) is a reliable surgical technique for Fuchs' endothelial dystrophy and pseudophakic bullous keratopathy. Visual rehabilitation is faster with lamellar keratoplasty than penetrating keratoplasty.
CONCLUSION
Posterior lamellar keratoplasty techniques such as DSAEK will become an important surgical treatment option for corneal endothelial pathologies.
背景
尽管穿透性角膜移植术仍是手术治疗角膜内皮病变的金标准，但近年来在改进（后）板层角膜移植技术方面取得了巨大进展。
方法
对PubMed的文献进行综述并结合自身数据。
结果
使用微型角膜刀的后板层角膜移植术（后弹力层剥除自动内皮角膜移植术，即DSAEK）是治疗Fuchs内皮营养不良和人工晶状体眼大泡性角膜病变的可靠手术技术。板层角膜移植术的视力恢复比穿透性角膜移植术更快。
结论
诸如DSAEK等后板层角膜移植技术将成为角膜内皮病变的重要手术治疗选择。
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