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Targeted lamellar keratoplasty in the horse: A paradigm shift in equine corneal transplantation
Author(s) -
BROOKS D. E.
Publication year - 2010
Publication title -
equine veterinary journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.82
H-Index - 87
eISSN - 2042-3306
pISSN - 0425-1644
DOI - 10.1111/j.2042-3306.2010.tb05631.x
Subject(s) - horse , corneal transplantation , medicine , transplantation , ophthalmology , cornea , biology , surgery , paleontology
Summary Many equine keratopathies primarily affect individual layers of the cornea. Targeted lamellar keratoplasty rather than full thickness penetrating keratoplasty (PK) seems most appropriate to the microsurgical management of many of these equine keratopathies. Despite the positive results with PK in the horse the author now suggests that this procedure should be rarely utilised in the treatment of equine keratitis. Selective lamellar surgical replacement of only the diseased corneal layers while retaining unaffected normal corneal layers represents a new paradigm shift in the field of corneal transplantation in the horse.