Evolving Techniques and Indications of Descemet Membrane Endothelial Keratoplasty

Endothelial keratoplasty has replaced traditional penetrating keratoplasty for the treatment of corneal endothelial dysfunction. It offers faster, more predictable, stable visual recovery and low rejection rates while the surgery itself is less invasive. Descemet membrane endothelial keratoplasty (D...

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Main Authors: Özlem Evren Kemer, Emine Esra Karaca, Silke Oellerich, Gerrit Melles
Format: Article
Language:English
Published: Galenos Yayinevi 2021-12-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access: http://www.oftalmoloji.org/archives/archive-detail/article-preview/evolving-techniques-and-ndications-of-descemet-mem/50643
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author Özlem Evren Kemer
Emine Esra Karaca
Silke Oellerich
Gerrit Melles
author_facet Özlem Evren Kemer
Emine Esra Karaca
Silke Oellerich
Gerrit Melles
author_sort Özlem Evren Kemer
collection DOAJ
description Endothelial keratoplasty has replaced traditional penetrating keratoplasty for the treatment of corneal endothelial dysfunction. It offers faster, more predictable, stable visual recovery and low rejection rates while the surgery itself is less invasive. Descemet membrane endothelial keratoplasty (DMEK) is currently the gold standard for the treatment of Fuchs endothelial dystrophy, bullous keratopathy, and corneal edema after cataract surgery. Its favorable long-term outcomes are increasingly reported by large study groups. This review summarizes the current literature on new DMEK techniques, including size and shape modifications, new graft delivery techniques, and surgical pearls for challenging cases like eyes with glaucoma, glaucoma tubes, and failed penetrating keratoplasties.
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spelling doaj.art-8a1693a82c244c04bdb0720452d13fbe2023-02-15T16:17:41ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612021-12-0151638139210.4274/tjo.galenos.2021.2822713049054Evolving Techniques and Indications of Descemet Membrane Endothelial KeratoplastyÖzlem Evren Kemer0Emine Esra Karaca1Silke Oellerich2Gerrit Melles3 Sağlık Bilimleri Üniversitesi, Ankara Şehir Hastanesi, Ankara, Türkiye Sağlık Bilimleri Üniversitesi, Ankara Şehir Hastanesi, Ankara, Türkiye Netherlands Institute For Innovative Ocular Surgery (NIIOS), Rotterdam, The Netherlands Netherlands Institute For Innovative Ocular Surgery (NIIOS), Rotterdam, The Netherlands Endothelial keratoplasty has replaced traditional penetrating keratoplasty for the treatment of corneal endothelial dysfunction. It offers faster, more predictable, stable visual recovery and low rejection rates while the surgery itself is less invasive. Descemet membrane endothelial keratoplasty (DMEK) is currently the gold standard for the treatment of Fuchs endothelial dystrophy, bullous keratopathy, and corneal edema after cataract surgery. Its favorable long-term outcomes are increasingly reported by large study groups. This review summarizes the current literature on new DMEK techniques, including size and shape modifications, new graft delivery techniques, and surgical pearls for challenging cases like eyes with glaucoma, glaucoma tubes, and failed penetrating keratoplasties. http://www.oftalmoloji.org/archives/archive-detail/article-preview/evolving-techniques-and-ndications-of-descemet-mem/50643 corneal transplantationdmekhemi-dmekquarter-dmekdmek in complicated cases
spellingShingle Özlem Evren Kemer
Emine Esra Karaca
Silke Oellerich
Gerrit Melles
Evolving Techniques and Indications of Descemet Membrane Endothelial Keratoplasty
Türk Oftalmoloji Dergisi
corneal transplantation
dmek
hemi-dmek
quarter-dmek
dmek in complicated cases
title Evolving Techniques and Indications of Descemet Membrane Endothelial Keratoplasty
title_full Evolving Techniques and Indications of Descemet Membrane Endothelial Keratoplasty
title_fullStr Evolving Techniques and Indications of Descemet Membrane Endothelial Keratoplasty
title_full_unstemmed Evolving Techniques and Indications of Descemet Membrane Endothelial Keratoplasty
title_short Evolving Techniques and Indications of Descemet Membrane Endothelial Keratoplasty
title_sort evolving techniques and indications of descemet membrane endothelial keratoplasty
topic corneal transplantation
dmek
hemi-dmek
quarter-dmek
dmek in complicated cases
url http://www.oftalmoloji.org/archives/archive-detail/article-preview/evolving-techniques-and-ndications-of-descemet-mem/50643
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AT emineesrakaraca evolvingtechniquesandindicationsofdescemetmembraneendothelialkeratoplasty
AT silkeoellerich evolvingtechniquesandindicationsofdescemetmembraneendothelialkeratoplasty
AT gerritmelles evolvingtechniquesandindicationsofdescemetmembraneendothelialkeratoplasty