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

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 man...

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Vydáno v:Journal of ophthalmology Ročník 2021; s. 1 - 9
Hlavní autoři: Borroni, Davide, Rocha de Lossada, Carlos, Parekh, Mohit, Gadhvi, Kunal, Bonzano, Chiara, Romano, Vito, Levis, Hannah J., Tzamalis, Aris, Steger, Bernhard, Rechichi, Miguel, Rodriguez-Calvo-de-Mora, Marina
Médium: Journal Article
Jazyk:angličtina
Vydáno: New York Hindawi 2021
John Wiley & Sons, Inc
Wiley
Témata:
Bupivacaine
Cornea
Endothelium
Eye surgery
Methods
Mortality
Review
Stains & staining
Suctioning
Surgeons
Transplants & implants
United Kingdom
Spain
ISSN:2090-004X, 2090-0058
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Shrnutí: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.
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Academic Editor: Andrea Lucisano
ISSN:2090-004X
2090-0058
DOI:10.1155/2021/1819454