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.
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.
Ultra-thin DSAEK delivers better results than standard DSAEKUltrathin Descemet’s stripping automated endothelial keratoplasty (DSAEK) is associated with faster visual recovery and better visual acuity in a study compared ultrathin with standard DSAEK.
DSAEK + AmbioDisk technique for improved surgical results, epithelial healing