Combined cataract/EK surgery may require modifications to techniqueCataract surgery in eyes undergoing simultaneous endothelial keratoplasty requires several modifications in techniques.
Three reasons for adopting DMEK in routine EK casesUsing the Descemet’s membrane endothelial keratoplasty (DMEK) procedure can produce better visual results and lower risk of rejection than using the previous methods (DLEK and DSAEK). The method has become easier to learn and use than in the past, and should be considered as the primary EK procedure for most routine cases of endothelial failure.
Is DSAEK still the gold standard over DMEK for endothelial disease?Multiple advantages of DSAEK include successful outcomes, less risk of graft tears, and alternative options for complex patients with comorbidities. Overall, the procedure offers an aspect of simplicity in that it also has less restrictions for donor age criteria compared with DMEK.
DSEK or DMEK? Choosing the best for patients with corneal edemaCareful consideration must be given to the timing and choice of surgery in eyes with corneal edema.
Re-bubbling cases show a higher endothelial cell loss post-DMEKAnalyses of data from 293 eyes undergoing uncomplicated Descemet membrane endothelial keratoplasty (DMEK) show that endothelial cell loss is greater in eyes that undergo a single re-bubbling for graft separation. The study, however, does not establish a causal association.
DMEK associated with better visual qualityA focus on functional vision outcomes in patients who had both DMEK and DSAEK procedures found that the DMEK procedure yielded quality of vision superior to that of DSAEK.
Graft failure: Techniques for best outcomes the second time aroundWhen a graft fails, surgeons have three factors to consider: the reason for the graft failure, the chances of success with a second surgery, and what has to be done differently to ensure the success of a new graft, said Francis Price Jr., MD.
Report: History of diabetes in donor raises risk of DMEK graft preparation failureResults from a retrospective, nonrandomized study show a strong association between donor history of diabetes and Descemet membrane endothelial keratoplasty (DMEK) graft preparation failure, said Mark A. Greiner, MD.
Fuchs’ endothelial dystrophy: Taking a step back to go forwardThe future of treating Fuchs’ endothelial dystrophy may be evolving, said Gerrit R.J. Melles, MD, PhD.
How DMEK is changing corneal surgeryPartial-thickness corneal graft procedure feasible in most clinical settings