Deep Lamellar Endothelial Keratoplasty Histopathology of Complications in Initial Cases

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To report complications encountered after 2 initial cases of deep lamellar endothelial keratoplasty.


Review of clinical findings of 2 initial cases in which intraoperative and postoperative complications were encountered. Corneal buttons from the 2 cases were evaluated by light microscopy and transmission electron microscopy.


Complications encountered were related to the graft-recipient interface and the lamellar dissection of the recipient and donor corneas.


Deep lamellar endothelial keratoplasty is an evolving procedure that shows much promise. These 2 cases show that the procedure entails a separate skill set from penetrating keratoplasty and requires significant surgeon practice before being introduced into the individual's transplant practice.

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