Mark A. Terry, MD

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.
Re-bubbling risk: Intraop issues more significant than donor characteristicsIn an analysis of 340 cases of Descemet membrane endothelial keratoplasty with a standardized technique by both experienced and novice surgeons, the re-bubbling rate was 10.6%.