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Ation of the internal part of the cornea only through the dsaek (descemet stripping automated endothelial keratoplasty) procedure. cost of generic viagra 100mg Techniques four techniques of corneal transplant are in frequent use today, the application thereof depending on the layer of the cornea which is affected and has to be replaced. generic viagra testimonials These techniques are: penetrating keratoplasty: this procedure is the most established technique, and has been available for a number of years. This implies the removal of the entire central cornea, with the replacement thereof by donor tissue. generic viagra in us This procedure is indicated in advanced cases of keratoconus, or when the scarring or disease process involves the entire thickness of the corneal stroma. Fig 1 – 3: schematic representation of a penetrating corneal transplant procedure. reviews of viagra vs viagra Fig 4: actual penetrating corneal transplant it is, however, possible to only replace the affected layer of the cornea, with preservation of the recipient’s own tissue to minimize complications. online sale viagra These transplant procedures are termed “lamellar corneal transplants” and are the latest additions to corneal transplant surgery. order viagra online Anterior lamellar corneal transplant (altk): through this technique, only the superficial part of the corneal stroma is removed and replaced by a similar donor section. The advantages of this procedure include the fact that the surgery remains superficial with the result that the host’s endothelial cell layer is preserved. brand viagra canada no prescription A smaller bulk of tissue is transplanted, which reduces the antigenic load, and hence the chances of rejection. buy generic viagra online This procedure is indicated if the superficial part of the cornea is the only part affected, thus negating the need for a penetrating corneal transplant. generic viagra testimonials Deep lamellar endothelial keratoplasty: this technique is very similar to the altk, except that the whole corneal stroma is replaced (only the corneal endothelium and the descemet’s membrane is left in situ). generic viagra testimonials This procedure is indicated if the whole cornea is affected except for the corneal endothelium and descemet’s membrane. Descemet’s stripping automated endothelial keratoplasty (dsaek): it is now possible to replace the corneal endothelium along with descemet’s membrane and a thin layer of the internal stroma. This procedure is significantly less invasive as opposed to a penetrating transplant, and the recovery is usually within a short. viagra for sale Testimonies

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