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"No‐touch" DMEK: Learning curve and outcomes
Author(s) -
DROUTSAS K
Publication year - 2013
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2013.4434.x
Subject(s) - visual rehabilitation , visual acuity , medicine , cornea , ophthalmology , descemet membrane , optometry , surgery
Descemet Membrane Endothelial Keratoplasty (DMEK), as described by Gerrit Melles in 2002, is currently the most targeted technique of endothelial replacement, as only Descemet membrane and the endothelial monolayer are transplanted. Therefore, the postoperative anatomy of the cornea is not altered as in earlier techniques (DLEK, DSAEK) and visual rehabilitation is fast and frequently complete. In the present lecture, surgical videos of graft preparation and DMEK surgery with the standardized “no touch” techniques as described by Melles will be presented along with clinical outcomes with regards to corrected visual acuity, refraction, endothelial cell density, complications and secondary procedures.