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Descemets membrane endothelial keratoplasty ( DMEK )
Author(s) -
Katamish T.
Publication year - 2015
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.1755-3768.2015.0241
Subject(s) - descemet membrane , ophthalmology , bullous keratopathy , medicine , endothelium , corneal transplantation , lamella (surface anatomy) , cornea , surgery , anatomy
Summary Descemet's membrane endothelial keratoplasty ( DMEK ) has emerged as the superior technique for endothelial keratoplasty ( EK ) in routine cases to selectively replace diseased endothelium in patients with Fuchs endothelial dystrophy and pseudophakic bullous keratopathy. Despite all the advantages of DMEK the overall procedure is challenging for the surgeon. Crucial yet difficult steps of DMEK include: (1) Preparation of an intact donor lamella (D.M. and endothelium), (2) Transfer of the graft into the anterior chamber, (3) Unfolding and orientation of the graft, and (4) Final successful attachment after air filling. In my presentation I will demonstrate clearly how to perform these different steps safely and reproducibly.