Descemet Membrane Endothelial Keratoplasty

A corneal ulcer refractory to medical management often proceeds to therapeutic penetrating keratoplasty in the late stages.

FRANKFURT, Germany — In this Healio Video Perspective from the ESCRS winter meeting, Lamis Baydoun, MD, PhD, encourages colleagues to use phakic DMEK and gives pearls for safe, efficient and successful surgery.

Suddenly, and for reasons that I cannot explain, my practice is awash in dislocated IOLs. Most of these are not my fault — he said defensively — but now they are definitely my problem.

Full-thickness corneal transplants are becoming rarer in the United States, largely because of the overwhelming success of lamellar procedures, especially DSAEK and DMEK.

The old, small, failed, penetrating keratoplasty is the bane of my existence.

MILAN — In the midst of the pandemic, three cases of endothelial dysfunction referred for PK due to severe corneal scarring were resolved with anterior lamellar keratectomy and DMEK by Lamis Baydoun, MD, PhD.

A comprehensive search and comparison of studies on Descemet’s membrane endothelial keratoplasty and ultra-thin Descemet’s stripping automated endothelial keratoplasty highlighted the strengths and weaknesses of both procedures.

Descemet’s membrane endothelial keratoplasty has changed the management of endothelial pathologies. It is now widely adopted and well managed by most surgeons, but concerns remain about long-term graft survival, according to one specialist.

Recently, Descemet’s membrane endothelial keratoplasty has emerged as the preferred treatment for corneal endothelial dysfunction because it affords the best visual acuity with the lowest risk for various complications.

Office-based surgery exploded into the popular consciousness with the publication of the 2015 Kaiser study, reporting more than 21,000 cataract operations performed safely and effectively in clinic minor procedure rooms.