Cornea Update: Layer Specific Keratoplasty (CME)

This course consists of 1 module, with a total of 14 sections.

Completion of this course is worth the following:

  • 3.5 ACCME AMA PRA Category 1 CME Credit Hour(s)

Recorded on Saturday January 27, 2018

Recorded at Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA  (Auditorium -- 8th Floor)

Program Chairs: Sadeer B. Hannush, MD & Christopher J. Rapuano, MD

Last Review Date: January 27, 2018

Course Description: 

After decades of offering one procedure, penetrating keratoplasty, for all visually significant corneal abnormalities, we now have an array of keratoplasty procedures specifically targeting the affected area of the cornea. Deep Anterior Lamellar Keratoplasty (DALK) is ideal for corneal opacities and ectasias not involving the posterior-most layers, while endothelial keratoplasty (DSAEK and DMEK) is best suited for eyes with corneal endothelial dysfunction. Penetrating keratoplasty still has a role, when all layers of the cornea are affected. Keratoprosthesis surgery is indicated when the surgeon feels that other forms of keratoplasty have a very low likelihood of success.


At the conclusion of this conference, participants should be able to:

Identify the procedure of choice for the presenting corneal abnormality

Discuss the indications, contraindications, advantages, and limitations of the various lamellar keratoplasty procedures

Describe the clinical indications that might make one endothelial keratoplasty procedure more suited for the needs of the patient over an another

Identify the still present indications for full-thickness corneal transplantation

Review special considerations for permanent keratoprosthesis surgery

Wills Eye Hospital Faculty            

Brandon D. Ayres, MD

Kristin M. Hammersmith, MD

Alex V. Levin, MD, MHSc, FRCSC

Beeran B. Meghpara, MD

Parveen K. Nagra, MD

Irving M. Raber, MD

Accreditation Statement: 

The Wills Eye Hospital is accredited by the ACCME to provide continuing medical education for physicians. 

The Wills Eye Hospital designates this educational activity for a maximum of 3.50 AMA PRA Category 1 Credits™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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Course Content

Cornea Update: Layer Specific Keratoplasty - January 27, 2018
Pre-Operative Decision Making in Keratoplasty - Christopher J. Rapuano, MD
Penetrating Keratoplasty: Is There a Role for it in 2018? - Beeran Meghpara, MD
From Phenotype to Genotype to Treatment - Alex V. Levin, MD, MHSc, FRCSC
DALK: Indications and Technique - Irving M. Raber, MD
Overview of Endothelial Keratoplasty + DSEK: Basic Technique - Parveen K. Nagra, MD
DSEK Complications and Management - Beeran Meghpara, MD
Cases and Panel Discussion- Wills Eye Faculty
DMEK: Basic Technique - Parveen K. Nagra, MD
DMEK Complications and Management - Brandon D. Ayres, MD
Descemet's Stripping without Endothelial Keratoplasty - Kristin M. Hammersmith, MD
As a DMEK Surgeon, When Do I Prefer DSAEK? - Brandon D. Ayres, MD
Keratoprosthesis Surgery: Why, When, and How? - Irving M. Raber, MD
Post-Operative Management of the Keratoplasty Patient - Christopher J. Rapuano, MD
Cases and Panel Discussion - Wills Eye Hospital Faculty

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