Abstract
SummaryDescemet's membrane endothelial keratoplasty (DMEK) has emerged as the superior technique for endothelial keratoplasty (EK) in routine cases to selectively replace diseased endothelium in patients with Fuchs endothelial dystrophy and pseudophakic bullous keratopathy. Despite all the advantages of DMEK the overall procedure is challenging for the surgeon. Crucial yet difficult steps of DMEK include: (1) Preparation of an intact donor lamella (D.M. and endothelium), (2) Transfer of the graft into the anterior chamber, (3) Unfolding and orientation of the graft, and (4) Final successful attachment after air filling. In my presentation I will demonstrate clearly how to perform these different steps safely and reproducibly.
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