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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.…
Key Concepts Descemet stripping (automated) endothelial keratoplasty (DSEK/DSAEK) provides rapid visual recovery. Postoperative complications can be minimized with careful intraoperative technique. DSEK/DSAEK yields 20/25–20/30 vision 1–3 years after surgery. DSEK/DSAEK causes minimal refractive change. DSEK/DSAEK maintains a physiologic corneal surface…