Corneal Transplantation in Ocular Surface Disease

Key Concepts

• A multidisciplinary approach is necessary for ocular surface reconstruction.

• Optimizing the ocular surface is vital prior to performing keratoplasty.

• Two-stage approach is preferred over simultaneous ocular surface reconstruction and keratoplasty.

• Systemic immunosuppression is generally well tolerated and safe.

• Boston keratoprosthesis type 1 is not recommended in advanced Stevens-Johnson syndrome and mucous membrane pemphigoid.