Corneal Endothelial Transplant: (DSAEK, DMEK & DLEK) by John Thomas

By John Thomas

Part 1: Cornea, 1. Corneal Hysteresis and Biomechanics of the traditional Cornea, 2. Corneal body structure, three. Corneal Endothelium in well-being and sickness, part 2: Corneal Imaging, four. Optical Coherence Tomography (OCT) of the Anterior phase, five. Optical Coherence Tomography in Corneal Implant surgical procedure, 6. Use of Optical Coherence Tomography (OCT) in Descemets Stripping with Endothelial Keratoplasty (DSEK) and Descemets Stripping computerized Endothelial Keratoplasty (DSAEK), 7. Imaging of the Cornea and Anterior section with High-Frequency Ultrasound, eight. Confocal Microscopy of the Cornea, part three: subsequent iteration working Microscope, nine. subsequent new release working Microscope: 3D electronic Microscope and Microsurgical pc, 10. position of Surgical Slit-lamp in Endothelial Transplantation and Anterior section surgical procedure, part four: Surgical tools, eleven. New/Useful Surgical tools in DSAEK, part five: man made Anterior Chambers, 12. synthetic Anterior Chambers, part 6: type of Lamellar Corneal surgical procedure, thirteen. Definition, Terminology and type of Lamellar Corneal surgical procedure, part 7: background, part eight: Deep Lamellar Endothelial Keratoplasty (DLEK), 15. Deep Lamellar Endothelial Keratoplasty (DLEK): huge Incision process, sixteen. Deep Lamellar Endothelial Keratoplasty (DLEK): A process for specified instances of Endothelial disorder, 17. Deep Lamellar Endothelial Keratoplasty: Small Incision method mixed with Phacoemulsification and Posterior Chamber IOL, 18. Deep Lamellar Endothelial Keratoplasty (DLEK) mixed with Scleral-fixated Posterior Chamber Intraocular Lens Implantation, part nine: Descemets Stripping computerized Endothelial Keratoplasty (DSAEK), 19. Eye Banking and Donor Corneal Tissue instruction in DSAEK, 20. Endothelial Keratoplasty: A step-by-step consultant to DSEK and DSAEK surgical procedure, 21. stronger DSAEK surgical procedure for superior Endothelial Survival, 22. Endothelial Keratoplasty: visible and Refractive results, 23. DSAEK Simplified Surgical method, 24. Surgical procedure for Descemet Stripping automatic Endothelial Keratoplasty (DSAEK), 25. Descemets Stripping Endothelial Keratoplasty (DSEK), via a three mm Incision utilizing the Tri-fold process, 26. Femtosecond Laser (Intralase®) Descemets Stripping Endothelial Keratoplasty (Femto-DSEK): preliminary experiences of Surgical procedure in Human Eyes, 27. thoughts to Facilitate Disk Adherence to Recipient Cornea in DSAEK, 28. hardship administration in DSAEK, 29. Unanswered Questions in DSAEK, 30. Use of Eye financial institution Pre-cut Donor Tissue in DSAEK, Seciton 10: DLEK as opposed to DSAEK, 31. comparability of Wound structure in DLEK as opposed to DSAEK, 32. Use of Dyes in DSAEK and DLEK, 33. Comparative visible restoration in DSAEK, DLEK and PKP, part eleven: DMEK and destiny instructions in Posterior, 34. Posterior Lamellar Keratoplasty utilizing Tissue Adhesive, 35. Novel technique for Corneal Endothelial phone Transplantation utilizing Descemet Membrane as a provider, 36. real Endothelial phone (TEnCell) Transplantation, 37. Descemet Membrane Endothelial Keratoplasty (DMEK), 38. Corneal Endothelial Reconstruction with a Bioengineered mobile Sheet, 39. way forward for Posterior Lamellar Keratoplasty.

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3. Endothelial cell proliferation. 56 Corneal Innervation Figure 2-4: Conceptual scheme of oxygen supply to the cornea. Although some oxygen enters the cornea from the limbus and aqueous humor, the anterior cornea derives essential amounts from the tears. or from epithelial glycogen stores is converted to pyruvate by glycolysis under anaerobic condition yielding two molecules of ATP (adenosine triphosphate). Under aerobic conditions, pyruvate is oxidized in the Krebs or tricarboxylic acid cycle to yield water, carbon dioxide and 36 molecules of ATP per cycle.

Biomechanical model of corneal transplantation. J Refract Surg 2006;22:293-302. 46. Sikder S, Snyder RW. Femtosecond laser preparation of donor tissue from the endothelial side. Cornea 2006;25:416-22. 47. Kohlhaas M, Spoerl E, Schilde T, Unger G, Wittig C, Pillunat LE. Biomechanical evidence of the distribution of cross-links in corneas treated with riboflavin and ultraviolet A light. J Cataract Refract Surg 2006;32:279-83. 48. Petroll WM, Cavanagh HD, Jester JV. Dynamic threedimensional visualization of collagen matrix remodeling and cytoskeletal organization in living corneal fibroblasts.

16 Elasticity is traditionally measured ex vivo with an extensiometer that records the force generation required during steady axial elongation of a tissue sample. The slope of stress (force per unit area) over strain (the current length divided by the starting length) is calculated for a representative portion of the curve. A linear approximation can be obtained from the instantaneous slope of the stressstrain curve (tangent modulus) or as a chord between two points on the curve (secant modulus).

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