Historia, Preservación, Criterios de Selección y Técnicas Quirúrgicas del Trasplante de Córneas
Objective: to describe the history, preservation, selection criteria and surgical techniques of corneal transplantation. Methodology: a search was carried out in Pubmed, Web Of Science, Cochrane with the indexed terms in Spanish: “History”, “Patient Selection”, “Techniques” and “Cornea Transplantati...
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| Autores principales: | , , , , |
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| Formato: | Artículo |
| Lenguaje: | español |
| Publicado: |
2023
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| Materias: | |
| Acceso en línea: | https://dialnet.unirioja.es/servlet/oaiart?codigo=9430038 |
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| Sumario: | Objective: to describe the history, preservation, selection criteria and surgical techniques of corneal transplantation. Methodology: a search was carried out in Pubmed, Web Of Science, Cochrane with the indexed terms in Spanish: “History”, “Patient Selection”, “Techniques” and “Cornea Transplantation”, together with its indexed terms in English: “History”. ”, “Patient Selection”, “Techniques” and “Corneal Transplantation”. Results and discussion: One of the fundamental elements is the evaluation of the quality of the donor tissue, which ranges from serological criteria to detection parameters. The evolution in corneal transplant techniques, moving from full-thickness transplants to procedures that replace specific layers, reflects significant advances in medical practice. Preservation of corneal tissue is another essential aspect, where cryopreservation, hypothermia and organ culture are key approaches. As for the recipients, age also generates debates. Although some studies suggest that recipient age is not a significant risk factor, others report conflicting results. Socioeconomic level, on the other hand, can influence the success of the transplant, but there is a discrepancy in the findings between different studies. The waiting time on the list for a transplant is a relevant factor, although its inclusion as a selection criterion varies. Conclusion: Recipient selection for corneal transplants is a balanced exercise that requires a holistic understanding of medical, ethical, and social factors to ensure successful and equitable outcomes. |
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