DMEK calling

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DMEK Calling

343 The emergence of endothelial keratoplasty (EK) represents the beginning of a new era in the treatment of corneal endothelial disorders which continues to evolve. Fifteen years ago we were performing penetrating keratoplasty for Fuchs’ dystrophy and bullous keratopathy but nowadays we are performing selective replacement of the diseased endothelial layer. In recent years two techniques of EK...

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Surgical Technique for DMEK

Currently there are no FDA-approved DMEK injectors. American surgeons have found many creative off-label methods around this obstacle. Many surgeons use modified intraocular lens injection cartridges for this purpose. The Staar microinjector (Staar Surgical Company, Monrovia, CA) was one of the most common inserters initially used for DMEK in the US (Fig. 131.1B). The Staar injector is an open ...

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Intraoperative OCT-Assisted DMEK: 14 Consecutive Cases.

PURPOSE To describe the utility of a new intraoperative optical coherence tomographer (OCT) to evaluate endothelio-Descemet graft orientation during Descemet membrane endothelial keratoplasty (DMEK) procedures. METHODS Prospective, observational, and single-center pilot case series including 14 eyes of 14 patients consecutively scheduled for DMEK surgery. After injecting the graft into the an...

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Prompt Intervention Improves Outcomes of Repeat DMEK

In the largest patient series to date, Gillies et al. analyzed the long-term outcomes of patients with neovascular age-related macular degeneration (AMD) who had received intravitreal injections of anti-VEGF agents. They found good long-term outcomes from baseline up to 6 years, with a drop in visual acuity (VA) after that point in eyes that were still being treated. For this observational stud...

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Hybrid Technique of Lamellar Keratoplasty (DMEK-S)

PURPOSE To evaluate the outcomes of the hybrid technique of posterior lamellar keratoplasty (DMEK-S). MATERIALS AND METHODS 71 eyes of 55 patients enrolled in a single-center study underwent posterior lamellar keratoplasty with a hybrid lamella DMEK-S implanted using a solution implantation technique, owing to endothelial dysfunction. The outcome measures studied were visual acuity and endoth...

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ژورنال

عنوان ژورنال: Journal of Ophthalmic and Vision Research

سال: 2016

ISSN: 2008-322X

DOI: 10.4103/2008-322x.194067