Corneal Endothelial Cell Loss in Glaucoma and Glaucoma Surgery and the Utility of Management with Descemet Membrane Endothelial Keratoplasty (DMEK)

The corneal endothelium has a crucial role in maintaining a clear and healthy cornea. Corneal endothelial cell loss occurs naturally with age; however, a diagnosis of glaucoma and surgical intervention for glaucoma can exacerbate a decline in cell number and impairment in morphology. In glaucoma, th...

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Main Authors: Neeru A Vallabh, Stephnie Kennedy, Riccardo Vinciguerra, Keri McLean, Hannah Levis, Davide Borroni, Vito Romano, Colin E Willoughby
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2022/1315299
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author Neeru A Vallabh
Stephnie Kennedy
Riccardo Vinciguerra
Keri McLean
Hannah Levis
Davide Borroni
Vito Romano
Colin E Willoughby
author_facet Neeru A Vallabh
Stephnie Kennedy
Riccardo Vinciguerra
Keri McLean
Hannah Levis
Davide Borroni
Vito Romano
Colin E Willoughby
author_sort Neeru A Vallabh
collection DOAJ
description The corneal endothelium has a crucial role in maintaining a clear and healthy cornea. Corneal endothelial cell loss occurs naturally with age; however, a diagnosis of glaucoma and surgical intervention for glaucoma can exacerbate a decline in cell number and impairment in morphology. In glaucoma, the mechanisms for this are not well understood and this accelerated cell loss can result in corneal decompensation. Given the high prevalence of glaucoma worldwide, this review aims to explore the abnormalities observed in the corneal endothelium in differing glaucoma phenotypes and glaucoma therapies (medical or surgical including with new generation microinvasive glaucoma surgeries). Descemet membrane endothelial keratoplasty (DMEK) is increasingly being used to manage corneal endothelial failure for glaucoma patients and we aim to review the recent literature evaluating the use of this technique in this clinical scenario.
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institution Kabale University
issn 2090-0058
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publishDate 2022-01-01
publisher Wiley
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series Journal of Ophthalmology
spelling doaj-art-b1fbd63474a444a38d9d835729a9c1312025-02-03T06:07:33ZengWileyJournal of Ophthalmology2090-00582022-01-01202210.1155/2022/1315299Corneal Endothelial Cell Loss in Glaucoma and Glaucoma Surgery and the Utility of Management with Descemet Membrane Endothelial Keratoplasty (DMEK)Neeru A Vallabh0Stephnie Kennedy1Riccardo Vinciguerra2Keri McLean3Hannah Levis4Davide Borroni5Vito Romano6Colin E Willoughby7Department of Corneal and External Eye DiseasesDepartment of Eye and Vision ScienceDepartment of Corneal and External Eye DiseasesDepartment of Corneal and External Eye DiseasesDepartment of Eye and Vision ScienceDepartment of Corneal and External Eye DiseasesDepartment of Corneal and External Eye DiseasesGenomic MedicineThe corneal endothelium has a crucial role in maintaining a clear and healthy cornea. Corneal endothelial cell loss occurs naturally with age; however, a diagnosis of glaucoma and surgical intervention for glaucoma can exacerbate a decline in cell number and impairment in morphology. In glaucoma, the mechanisms for this are not well understood and this accelerated cell loss can result in corneal decompensation. Given the high prevalence of glaucoma worldwide, this review aims to explore the abnormalities observed in the corneal endothelium in differing glaucoma phenotypes and glaucoma therapies (medical or surgical including with new generation microinvasive glaucoma surgeries). Descemet membrane endothelial keratoplasty (DMEK) is increasingly being used to manage corneal endothelial failure for glaucoma patients and we aim to review the recent literature evaluating the use of this technique in this clinical scenario.http://dx.doi.org/10.1155/2022/1315299
spellingShingle Neeru A Vallabh
Stephnie Kennedy
Riccardo Vinciguerra
Keri McLean
Hannah Levis
Davide Borroni
Vito Romano
Colin E Willoughby
Corneal Endothelial Cell Loss in Glaucoma and Glaucoma Surgery and the Utility of Management with Descemet Membrane Endothelial Keratoplasty (DMEK)
Journal of Ophthalmology
title Corneal Endothelial Cell Loss in Glaucoma and Glaucoma Surgery and the Utility of Management with Descemet Membrane Endothelial Keratoplasty (DMEK)
title_full Corneal Endothelial Cell Loss in Glaucoma and Glaucoma Surgery and the Utility of Management with Descemet Membrane Endothelial Keratoplasty (DMEK)
title_fullStr Corneal Endothelial Cell Loss in Glaucoma and Glaucoma Surgery and the Utility of Management with Descemet Membrane Endothelial Keratoplasty (DMEK)
title_full_unstemmed Corneal Endothelial Cell Loss in Glaucoma and Glaucoma Surgery and the Utility of Management with Descemet Membrane Endothelial Keratoplasty (DMEK)
title_short Corneal Endothelial Cell Loss in Glaucoma and Glaucoma Surgery and the Utility of Management with Descemet Membrane Endothelial Keratoplasty (DMEK)
title_sort corneal endothelial cell loss in glaucoma and glaucoma surgery and the utility of management with descemet membrane endothelial keratoplasty dmek
url http://dx.doi.org/10.1155/2022/1315299
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