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Keywords = mushroom keratoplasty (MK)

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11 pages, 826 KiB  
Review
Mushroom Penetrating Keratoplasty: A Narrative Review
by Pietro Bergamaschi, Linda Marie Louise Busin, Angeli Christy Yu and Massimo Busin
J. Clin. Med. 2025, 14(7), 2351; https://doi.org/10.3390/jcm14072351 - 29 Mar 2025
Viewed by 489
Abstract
While full-thickness penetrating keratoplasty (PK) has seen a decline in favor of partial-thickness techniques like endothelial keratoplasty (EK) and anterior lamellar keratoplasty (ALK), PK remains indicated for corneal disease involving the entire corneal thickness. Mushroom keratoplasty (MK) is a noteworthy modification of PK, [...] Read more.
While full-thickness penetrating keratoplasty (PK) has seen a decline in favor of partial-thickness techniques like endothelial keratoplasty (EK) and anterior lamellar keratoplasty (ALK), PK remains indicated for corneal disease involving the entire corneal thickness. Mushroom keratoplasty (MK) is a noteworthy modification of PK, designed to combine the refractive benefits of a large-diameter anterior lamellar graft with the graft survival advantage of limited replacement of the corneal endothelium. Leveraging the use of a microkeratome, the MK donor graft can be prepared by microkeratome dissection, thereby achieving a central interface compatible with 20/20 Snellen vision. This review explores the various surgical techniques, visual outcomes, graft survival rates, and complication rates associated with MK for various indications. Full article
(This article belongs to the Special Issue New Insights in Ophthalmic Surgery)
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14 pages, 529 KiB  
Review
Outcomes of Corneal Transplantation for Herpetic Keratitis: A Narrative Review
by Michele Nardella, Angeli Christy Yu, Massimo Busin, Roberta Rizzo and Giorgio Zauli
Viruses 2024, 16(9), 1403; https://doi.org/10.3390/v16091403 - 31 Aug 2024
Cited by 2 | Viewed by 2409
Abstract
Herpes simplex virus (HSV) is one of the most common etiologic agents of corneal disease and a significant cause of corneal blindness worldwide. Although most cases can be successfully managed with medical therapy, HSV keratitis associated with visually significant stromal scarring often requires [...] Read more.
Herpes simplex virus (HSV) is one of the most common etiologic agents of corneal disease and a significant cause of corneal blindness worldwide. Although most cases can be successfully managed with medical therapy, HSV keratitis associated with visually significant stromal scarring often requires corneal transplantation for visual rehabilitation. While penetrating keratoplasty (PK) represented the traditional keratoplasty technique, the past few decades have seen a shift towards lamellar keratoplasty procedures, including deep anterior lamellar keratoplasty and mushroom keratoplasty. This paper describes the current surgical techniques and perioperative antiviral prophylaxis regimen for herpetic keratitis and reviews their postoperative clinical outcomes. Full article
(This article belongs to the Special Issue Ocular Diseases in Viral Infection)
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