Cursiefen C, Steven P, Roters S, Heindl L M
Universitätsaugenklinik Köln, Universität zu Köln, Kerpener Str. 62, 50924, Köln, Deutschland.
Ophthalmologe. 2013 Jul;110(7):614-21. doi: 10.1007/s00347-012-2679-8.
Posterior lamellar keratoplasty, in the form of Descemet membrane endothelial keratoplasty (DMEK) and Descemet stripping automated endothelial keratoplasty (DSAEK), has become a standard procedure for therapy of endothelial diseases of the cornea. The aim of this article is to describe strategies to prevent and manage complications in DMEK and DSAEK surgery.
The article is based on a PubMed literature search and own clinical data. Key words used were "DMEK", "DSAEK", "Descemet membrane endothelial keratoplasty" and "Descemet stripping automated endothelial keratoplasty".
The DMEK and DSAEK procedures are safe surgical strategies for treating endothelial corneal diseases if the indications are made correctly.
The DMEK procedure is the standard procedure for improvement of visual acuity especially for younger patients with Fuchs' dystrophy and DSAEK is particularly suitable for eyes with complicated anterior chamber situations.
后弹力层角膜移植术，以 Descemet 膜内皮角膜移植术（DMEK）和 Descemet 膜剥除自动内皮角膜移植术（DSAEK）的形式，已成为治疗角膜内皮疾病的标准手术方法。本文旨在描述 DMEK 和 DSAEK 手术中预防和处理并发症的策略。
本文基于 PubMed 文献检索和自身临床数据。使用的关键词为“DMEK”“DSAEK”“Descemet 膜内皮角膜移植术”和“Descemet 膜剥除自动内皮角膜移植术”。
如果适应证选择正确，DMEK 和 DSAEK 手术是治疗角膜内皮疾病的安全手术策略。
DMEK 手术是提高视力的标准手术方法，尤其适用于年轻的 Fuchs 角膜内皮营养不良患者，而 DSAEK 特别适用于前房情况复杂的眼睛。
