Mastering Endothelial Keratoplasty : DSAEK, DMEK, E-DMEK, PDEK, Air pump-assisted PDEK and others, Volume II

__Volume 2__ of this edited book covers management of complex situations and complications. Topics such as combined surgeries, EK in complex situations, management of complications, graft management, and RHO-associated kinase (Rock) inhibitors have been covered as well. Basics and various surgical techniques have been covered in __Volume 1__ of __Mastering Endothelial Keratoplasty.__ Endothelial keratoplasty is a field of great interest to all corneal surgeons. It is an exciting and evolving field in corneal transplantation as the newer techniques of DSAEK, DMEK, E-DMEK and PDEK have inherent advantages that make them supersede the older techniques by far. Hence, in today's scenario with the clearly superior results that these techniques offer, it is imperative for all corneal surgeons to learn them and know everything about managing the patient from the pre-operative to the postoperative period. This two-volume book is a must-read for the beginner as well as the established ophthalmologist with interest in corneal transplantation. It is also a must-have for educational institutions, hospital- based libraries and for post-graduate students, fellows and residents who want to expand their knowledge. Volume 1 of this edited book covers basics of endothelial keratoplasty and various surgical techniques currently in use. Chapters on DSAEK, DMEK, big bubble, air pump-assisted and endoilluminator assisted DMEK/PDEK, pre-Descemet endothelial keratoplasty (PDEK), and Descemet membrane endothelial transfer (DMET) complete the topics on various surgical procedures. Complex situations and complications have been covered in volume 2 of Mastering Endothelial Keratoplasty. Endothelial keratoplasty is a field of great interest to all corneal surgeons. It is an exciting and evolving field in corneal transplantation as the newer techniques of DSAEK, DMEK, E-DMEK and PDEK have inherent advantages that make them supersede the older techniques by far. Hence, in today's scenario with the clearly superior results that these techniques offer, it is imperative for all corneal surgeons to learn them and know everything about managing the patient from the pre-operative to the postoperative period. This two-volume book is a must-read for the beginner as well as the established ophthalmologist with interest in corneal transplantation. It is also a must-have for educational institutions, hospital- based libraries and for post-graduate students, fellows and residents who want to expand their knowledge Front Matter....Pages i-xvi Endothelial Keratoplasty Combined with Cataract Extraction....Pages 1-14 Endothelial Keratoplasty in the Setting of a Dislocated Intraocular Lens (IOL)....Pages 15-38 Endothelial Keratoplasty in Eyes with Glaucoma....Pages 39-50 Complex Scenarios in PDEK....Pages 51-72 Postoperative Graft Management in Endothelial Keratoplasty....Pages 73-95 Complications in DSEK: Prevention and Management....Pages 97-111 Preventing and Managing Postoperative Complications in DMEK Surgery....Pages 113-126 Complications of Pre-Descemet’s Endothelial Keratoplasty (PDEK)....Pages 127-140 Endothelial Cell Loss After Endothelial Keratoplasty....Pages 141-158 Graft Survival in Descemet’s Stripping Automated Endothelial Keratoplasty (DSAEK)....Pages 159-168 Graft Rejection in Endothelial Keratoplasty....Pages 169-195 Graft Thickness and Its Relationship to Visual Outcome in Endothelial Keratoplasty....Pages 197-204 Targeting Emmetropia in Endothelial Keratoplasty....Pages 205-216 Rhokinase Inhibitors for Endothelial Decompensation....Pages 217-221 Foreword -- Preface -- About the Editor -- Contents -- Contributors -- Chapter 1: Endothelial Keratoplasty Combined with Cataract Extraction -- 1.1 Introduction -- 1.2 Considerations for Surgery -- 1.2.1 Indications -- 1.2.2 Planned Sequential Surgery or Triple Procedure -- 1.2.3 Refractive Targets -- 1.2.4 Intraocular Lens (IOL) Implant -- 1.3 Surgical Approach: Specific Modifications to Standard Techniques in Combined Surgery -- 1.4 Outcomes -- 1.5 Conclusion -- References -- Chapter 2: Endothelial Keratoplasty in the Setting of a Dislocated Intraocular Lens (IOL) -- 2.1 Introduction 3.2 Bubble Management -- 3.3 Pupillary Block Glaucoma -- 3.3.1 Prevention -- 3.3.2 Inferior Iridotomy -- 3.4 Eyes with Tube Shunts -- 3.5 Eyes with Filtering Blebs -- 3.6 Conclusion -- References -- Chapter 4: Complex Scenarios in PDEK -- 4.1 Introduction -- 4.2 Shallow AC -- 4.3 ICE Syndrome -- 4.4 DMEK or PDEK on a Failed Penetrating Keratoplasty -- 4.5 PDEK/DMEK for Failed DSAEK -- 4.6 PDEK in Vitrectomized Eye -- 4.6.1 Intra-operative Challenges -- 4.6.2 Broken Capsulo-zonular Barrier -- 4.6.3 Importance of the Iris-IOL Diaphragm -- 4.6.4 Aphakia -- 4.6.5 Secondary IOL Fixation 5.3.8 Interface Haze -- 5.3.8.1 Interface Irregularity -- 5.3.8.2 Retained Host's Descemet's Membrane -- 5.3.8.3 Retained Ocular Viscoelastic Device -- 5.3.9 Posterior Surface Astigmatism -- References -- Chapter 6: Complications in DSEK: Prevention and Management -- 6.1 Introduction -- 6.2 Tissue Preparation -- 6.2.1 Eccentric Trephination -- 6.2.2 Endothelial Damage -- 6.3 Intraoperative -- 6.3.1 Recipient Stromal Damage -- 6.3.2 Retained Descemet's Membrane -- 6.3.3 Inadequate Air Tamponade -- 6.3.4 Glaucoma -- 6.3.4.1 Pupillary Block Glaucoma -- 6.3.4.2 Secondary Angle Closure 4.7 PDEK and the Glued IOL -- 4.7.1 Anterior Vitrectomy -- 4.7.2 Post-operative Period -- 4.8 EK with Cataract Surgery -- 4.9 EK in Glaucomatous Eyes -- References -- Chapter 5: Postoperative Graft Management in Endothelial Keratoplasty -- 5.1 Introduction -- 5.2 Routine Postoperative Management -- 5.3 Postoperative Complications and Their Management -- 5.3.1 Pupillary Block -- 5.3.2 Interface Fluid -- 5.3.3 Dislocation of the Donor Graft -- 5.3.4 Graft Failure: Primary and Secondary -- 5.3.5 Immunologic Graft Rejection -- 5.3.6 Repeated Procedures -- 5.3.7 Epithelial Downgrowth 2.2 Preoperative Assessment -- 2.2.1 Assessing the Status of the IOL -- 2.3 Determining a Surgical Plan -- 2.3.1 No IOL Intervention -- 2.3.2 Repositioning of Dislocated IOLs -- 2.3.3 IOL Exchange -- 2.3.3.1 Anterior Chamber Intraocular Lens (ACIOL) -- 2.3.3.2 Iris-Fixated IOL -- 2.3.3.3 Scleral Sutured IOL -- 2.3.3.4 Sutureless Intrascleral Fixated IOL (Glued IOL) -- 2.3.4 Staged Versus Combined -- 2.4 Performing the Endothelial Keratoplasty After an IOL Exchange or Repositioning -- References -- Chapter 3: Endothelial Keratoplasty in Eyes with Glaucoma -- 3.1 Introduction