Tips, Tricks, and Guides in Descemet Membrane Endothelial Keratoplasty Learning Curve-Reference-Cited by-同舟云学术

Tips, Tricks, and Guides in Descemet Membrane Endothelial Keratoplasty Learning Curve

Published:2021-08-17 Issue: Volume:2021 Page:1-9
ISSN:2090-0058
Container-title:Journal of Ophthalmology
language:en
Short-container-title:Journal of Ophthalmology

Author:

Borroni Davide¹²^ORCID,Rocha de Lossada Carlos³⁴,Parekh Mohit⁵,Gadhvi Kunal⁶,Bonzano Chiara⁷,Romano Vito⁸,Levis Hannah J.⁸,Tzamalis Aris⁹,Steger Bernhard¹⁰,Rechichi Miguel¹¹,Rodriguez-Calvo-de-Mora Marina¹²¹³

Affiliation:

1. International Center for Ocular Physiopathology, The Veneto Eye Bank Foundation, Venice, Italy

2. Department of Doctoral Studies, Riga Stradins University, Riga, Latvia

3. Department of Ophthalmology, University Hospital Virgen de Las Nieves, Granada 18014, Spain

4. Department of Ophthalmology, Ceuta Medical Center, Ceuta 51001, Spain

5. Institute of Ophthalmology, University College London, London, UK

6. Department of Ophthalmology, Royal Liverpool University Hospital, Liverpool, UK

7. Eye Clinic, DiNOGMI, University of Genoa and IRCCS San Martino Polyclinic Hospital, Genoa, Italy

8. Department of Eye and Vision Science, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK

9. 2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece

10. Department Ophthalmology, Medical University of Innsbruck, Innsbruck, Austria

11. Centro Polispecialistico Mediterraneo, Sellia Marina, Italy

12. Department of Ophthalmology, Regional University Hospital of Malaga, Malaga 29010, Spain

13. Department of Ophthalmology, Qvision (Vithas Almeria), Almería, Spain

Abstract

Lamellar keratoplasty is fast becoming the most popular form of corneal transplantation. The adoption of Descemet membrane endothelial keratoplasty (DMEK) in the management of Fuchs endothelial dystrophy and pseudophakic bullous keratopathy is partly responsible for this shift in the paradigm of management of corneal pathology. The learning curve of DMEK, however, has been proven to be much steeper than previous endothelial keratoplasty procedures. To ease the procedure, experts have proposed multiple innovative techniques from tissue preparation to graft unfolding to aid the more novice surgeon. Here, we collate and share tips and tricks from our collective experiences to support the learning curve and outcomes in DMEK for both the novice and more experienced corneal transplant surgeons.

Publisher

Hindawi Limited

Subject

Ophthalmology

Link

http://downloads.hindawi.com/journals/joph/2021/1819454.pdf

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