DMEKDescemet Membrane Endothelial Keratoplasty
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In this non-randomised, consecutive and interventional prospective case studies, the first 100 consecutive patients (Age [greater than or equal to] 18 years with BCVA [less than or equal to] 20/400) with endothelial dysfunction who were enlisted for corneal grafting in our central register were included for DSEK and DMEK. Patients with dense central corneal stromal scarring, irregular and deformed anterior chamber (AC), gross peripheral anterior synechia (PAS), uncontrolled glaucoma and gross posterior segment pathology detected by B-scan were excluded from the study.
DMEK provides faster and more complete visual rehabilitation compared to DSAEK.
The thickness of posterior cornea grafts dissected by microkeratome in DSAEK is not that predictable.[22],[23] While DMEK grafts preparation requires much more training and suffer a higher failure rate,[24] McCauley et al .[25] even reported a grafts reattachment rate up to 25% after DMEK surgery.
01 As a consultant ophthalmic surgeon, I came across Descemet's membrane endothelial keratoplasty (DMEK) in early 2010 and travelled to Germany in January 2014 to learn the procedure.
They include the necessary instructional information on Descemet stripping endothelial keratoplasty (DSEK), Descemet membrane endothelial keratoplasty (DMEK), and pre-Descemet endothelial keratoplasty (PDEK).
Descemet's membrane endothelial keratoplasty (DMEK) is a valuable method of corneal transplantation that corrects corneal endothelial dysfunction [1, 2].
Descemet's stripping endothelial keratoplasty (DSEK) and Descemet's membrane endothelial keratoplasty (DMEK) have been shown to have superior outcomes compared to penetrating keratoplasty in terms of postoperative astigmatism and visual function [5, 6].
The innovation - called descemet membrane endothelial keratoplasty (DMEK) - saw him transplant a single layer of cells the width of one tenth of a human hair onto the eye of Farnley Tyas resident Joan Greenwood at Calderdale Royal Hospital.
As surgeons have moved away from full-thickness penetrating keratoplasty (PK), EK techniques have become increasingly precise, with a move to Descemet-stripping endothelial keratoplalsty (DSEK or DSAEK) and Descemet membrane endothelial keratoplasty (DMEK or DMAEK).
Corneal endothelial transplant (DSAEK, DMEK & DLEK).
This textbook for corneal and anterior segment surgeons covers all endothelial keratoplasty procedures commonly used for corneal transplants such as DSEK, DMEK and DSAEK.