Comment on Descemet Stripping Endothelial Keratoplasty in Pediatric Patients with Congenital Hereditary Endothelial Dystrophy

Abstract

We congratulate Yang and associates 1 Yang F. Hong J. Xiao G. et al. Descemet stripping endothelial keratoplasty in pediatric patients with congenital hereditary endothelial dystrophy. Am J Ophthalmol. 2020; 209: 132-140 Abstract Full Text Full Text PDF PubMed Scopus (12) Google Scholar for their success in reporting specificities and long-term results of Descemet stripping endothelial keratoplasty (DSEK) in children. We share the opinions about the likely superiority of endothelial keratoplasty (EK) over penetrating keratoplasty (PK) in this age group, regarding amblyopia, rejection, or traumatic dehiscence. 2 Lowe M.T. Keane M.C. Coster D.J. Williams K.A. The outcome of corneal transplantation in infants, children, and adolescents. Ophthalmology. 2011; 118: 492-497 Abstract Full Text Full Text PDF PubMed Scopus (65) Google Scholar ,3 Ramappa M. Ashar J. Vaddavalli P.K. Chaurasia S. Murthy S.I. Endothelial keratoplasty in children: surgical challenges and early outcomes. Br J Ophthalmol. 2012; 96: 1149-1151 Crossref PubMed Scopus (11) Google Scholar However, we would like to point out the advantages of Descemet membrane endothelial keratoplasty (DMEK) over DSEK in this population. Descemet Stripping Endothelial Keratoplasty in Pediatric Patients with Congenital Hereditary Endothelial DystrophyAmerican Journal of OphthalmologyVol. 209PreviewTo report the long-term outcomes of Descemet stripping endothelial keratoplasty (DSEK) with suture-assisted donor lenticule insertion performed in different age groups for pediatric patients with congenital hereditary endothelial dystrophy (CHED). Full-Text PDF Reply to Comment on: Descemet Stripping Endothelial Keratoplasty in Pediatric Patients with Congenital Hereditary Endothelial DystrophyAmerican Journal of OphthalmologyVol. 215PreviewWe appreciate comments on our paper.1 Although Descemet's membrane endothelial keratoplasty (DMEK) shows an advantage in adults compared with Descemet stripping endothelial keratoplasty (DSEK),2 we do not recommend DMEK in pediatric patients because of the great anatomic and physiologic differences between adults and children. Full-Text PDF