Abstract
Corneal transplant surgery has undergone numerous modifications over the years with improvements in technique,
instrumentation and eye banking. The main goals of corneal transplantation are achieving excellent optical clarity with
long-term graft survival. Penetrating, anterior and posterior lamellar surgery along with femtosecond laser technology
have partially met these goals, but outcomes are often unpredictable and surgeon dependent. Technology to predictably
separate stroma from Descemet's membrane, techniques to minimize endothelial cell loss, improvements in imaging
technology and emerging techniques like laser welding that might replace suturing, eventually making corneal
transplantation a refractively predictable procedure are on the wish list of the cornea surgeon.
