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Evolving indications for Descemet's stripping automated endothelial keratoplasty.
[aniridia]
Recent
advances
in
the
field
of
endothelial
transplantation
,
including
increasing
acceptance
of
Descemet
's
membrane
endothelial
keratoplasty
,
may
alter
the
indications
for
Descemet
's
stripping
automated
endothelial
keratoplasty
,
to
a
procedure
reserved
for
complex
endothelial
disorders
.
Recent
literature
demonstrates
that
Descemet
's
membrane
endothelial
keratoplasty
provides
better
and
faster
visual
outcomes
and
decreased
immunologic
rejection
compared
to
Descemet
's
stripping
automated
endothelial
keratoplasty
.
However
,
Descemet
's
membrane
endothelial
keratoplasty
may
be
more
challenging
in
the
management
of
a
number
of
more
complex
endothelial
disorders
.
While
the
literature
on
complex
Descemet
's
membrane
endothelial
keratoplasty
is
limited
,
the
utility
of
Descemet
's
stripping
automated
endothelial
keratoplasty
has
been
validated
in
the
management
of
endothelial
dysfunction
in
the
setting
of
a
number
of
comorbid
conditions
including
prior
penetrating
keratoplasty
,
prior
glaucoma
surgery
,
iridocorneal
endothelial
syndrome
,
aniridia
,
aphakia
,
and
anterior
chamber
intraocular
lenses
,
among
others
.
The
increasing
adoption
of
Descemet
's
membrane
endothelial
keratoplast
is
changing
the
practice
of
endothelial
keratoplasty
.
However
,
limitations
of
the
Descemet
's
membrane
endothelial
keratoplasty
procedure
have
also
served
to
crystallize
the
essential
role
of
Descemet
's
stripping
automated
endothelial
keratoplasty
in
many
complex
endothelial
keratoplasty
scenarios
.
This
article
will
review
indications
for
endothelial
keratoplasty
,
along
with
the
current
evidence
for
Descemet
's
stripping
automated
endothelial
keratoplasty
and
Descemet
's
membrane
endothelial
keratoplasty
in
their
management
.
Diseases
Validation
Diseases presenting
"aniridia"
symptom
aniridia
kabuki syndrome
oculocutaneous albinism
This symptom has already been validated