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March 24, 2023
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VIDEO: Study investigates incidence of VMT after phakic, pseudophakic and triple DMEK

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Key takeaways:

  • There was a significant decrease in vitreomacular traction after triple DMEK.
  • In contrast, vitreomacular traction increased after phakic and pseudophakic DMEK.

VILAMOURA, Portugal — At the ESCRS winter meeting, Sarah Zwingelberg, MD, speaks about a study on the incidence of vitreomacular traction following phakic, pseudophakic and triple Descemet’s membrane endothelial keratoplasty.

The study included 1,076 patients, of which 6.5% had preoperative vitreomacular traction (VMT).

“We were able to observe that 12 months after the DMEK procedure, there was a significant decrease of vitreomacular traction in patients with triple DMEK. In contrast to this, there was a slight increase of VMT after phakic and pseudophakic DMEK,” she said.

The use of gas instead of air resulted in a higher rate of posterior vitreous detachment. These factors should be taken into account when planning a DMEK procedure, she said.