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Corneal transplantation, also known as corneal grafting, is a surgical procedure where a damaged or diseased cornea is replaced by donated corneal tissue (the graft). When the entire cornea is replaced it is known as penetrating keratoplasty and when only part of the cornea is replaced it is known as lamellar keratoplasty .
In the case of the KeraKlear, the intralamellar pocket is created with a femtosecond laser or a corneal pocket making microkeratome. The posterior cornea is left intact. Typically, there is a follow-up session few days after surgery, when patients' complaints are addressed and modifications are made, if needed.
The next step is to prepare the recipient eye, the abnormal corneal epithelium is then removed from the recipients eye. The harvested donor cells are then sutured onto the edge of the recipients limbus. [3] Both the donor and recipient should be fitted with bandage contact lenses after their procedure to protect the cornea. [3]
The person's corneal tissue is gently excised, peeled off, and replaced with the donor tissue via small 'clear corneal incisions' (small corneal incisions just anterior to the corneal limbus. The donor tissue is tamponaded against the person's exposed posterior corneal stroma by injecting a small air bubble into the anterior chamber .
PDEK is different from the whole cornea transplantation in which the transplantation of entire donor cornea to the recipient is done. [2] [3] Normal corneal thickness is about 520 to 540 microns in the centre and 600 to 620 microns in the periphery. [4] Pre descemet's layer which is dissected in PDEK, measures about 10.15±3.6 microns thick. [5]
The ICD-10 Procedure Coding System (ICD-10-PCS) is a US system of medical classification used for procedural coding.The Centers for Medicare and Medicaid Services, the agency responsible for maintaining the inpatient procedure code set in the U.S., contracted with 3M Health Information Systems in 1995 to design and then develop a procedure classification system to replace Volume 3 of ICD-9-CM.
A corneal button is a replacement cornea to be transplanted in the place of a damaged, diseased or opacified cornea, normally approximately 8.5–9.0mm in diameter. [1] It is used in a corneal transplantation procedure (also corneal grafting) whereby the whole, or part, of a cornea is replaced. [2]
A Gundersen flap, also known as Gundersen's flap, Gundersen's conjunctival flap, or conjunctivoplasty, and often misspelled Gunderson, is a surgical procedure for correcting corneal disease. It involves excising a damaged section of cornea, and replacing it with a section (or "flap") of the patient's own conjunctiva. [1]