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Postoperative Graft Management in Endothelial Keratoplasty

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Mastering Endothelial Keratoplasty

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Abstract

Despite the surgical challenges during the endothelial keratoplasty (EK) procedures, postoperative management is of utmost importance for graft survival. One of the most important aspects of postoperative care is the management of topical steroid dosage, since sudden discontinuation of treatment has been identified as the main cause of graft failure in several reports. There are also potential challenges that can present to the surgeon both in the early and late postoperative period, such as fluid in the interface and graft detachment; or immunologic rejection or graft failure, respectively. In the initial portion of this chapter, routine management of an uncomplicated graft is described, followed by the description and management of several scenarios that could present along the postoperative period.

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Author information

Authors and Affiliations

  1. Comprehensive Ophthalmology, Cornea, External Disease and Refractive Surgery, Private Practice in Gainesville, Gainesville, GA, USA

    Claudia Perez-Straziota MD

  2. Medical University of South Carolina (MUSC), Storm Eye Institute, Magill Vision Center, Charleston, SC, USA

    Karolinne Maia Rocha MD, PhD

  3. Permanente Medical Group, NVISION Laser Eye Centers, Newport Beach, CA, USA

    John Au MD

  4. Kaiser Permanente, 1 Quality drive, Vacaville, CA, 95688, USA

    John Au MD

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  1. Claudia Perez-Straziota MD
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  2. Karolinne Maia Rocha MD, PhD
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  3. John Au MD
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Correspondence to Claudia Perez-Straziota MD .

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Editors and Affiliations

  1. Director and Chief, Dr. Agarwal's Refractive and Cornea Foundation, Dr. Agarwal's Group of Eye Hospitals, Chennai, India

    Soosan Jacob

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Perez-Straziota, C., Rocha, K.M., Au, J. (2016). Postoperative Graft Management in Endothelial Keratoplasty. In: Jacob, S. (eds) Mastering Endothelial Keratoplasty . Springer, New Delhi. https://doi.org/10.1007/978-81-322-2821-9_5

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  • DOI: https://doi.org/10.1007/978-81-322-2821-9_5

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