Tips, Tricks, and Guides in Descemet Membrane Endothelial Keratoplasty Learning Curve

Lamellar keratoplasty is fast becoming the most popular form of corneal transplantation. The adoption of Descemet membrane endothelial keratoplasty (DMEK) in the management of Fuchs endothelial dystrophy and pseudophakic bullous keratopathy is partly responsible for this shift in the paradigm of man...

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Main Authors: Davide Borroni, Carlos Rocha de Lossada, Mohit Parekh, Kunal Gadhvi, Chiara Bonzano, Vito Romano, Hannah J. Levis, Aris Tzamalis, Bernhard Steger, Miguel Rechichi, Marina Rodriguez-Calvo-de-Mora
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2021/1819454
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author Davide Borroni
Carlos Rocha de Lossada
Mohit Parekh
Kunal Gadhvi
Chiara Bonzano
Vito Romano
Hannah J. Levis
Aris Tzamalis
Bernhard Steger
Miguel Rechichi
Marina Rodriguez-Calvo-de-Mora
author_facet Davide Borroni
Carlos Rocha de Lossada
Mohit Parekh
Kunal Gadhvi
Chiara Bonzano
Vito Romano
Hannah J. Levis
Aris Tzamalis
Bernhard Steger
Miguel Rechichi
Marina Rodriguez-Calvo-de-Mora
author_sort Davide Borroni
collection DOAJ
description Lamellar keratoplasty is fast becoming the most popular form of corneal transplantation. The adoption of Descemet membrane endothelial keratoplasty (DMEK) in the management of Fuchs endothelial dystrophy and pseudophakic bullous keratopathy is partly responsible for this shift in the paradigm of management of corneal pathology. The learning curve of DMEK, however, has been proven to be much steeper than previous endothelial keratoplasty procedures. To ease the procedure, experts have proposed multiple innovative techniques from tissue preparation to graft unfolding to aid the more novice surgeon. Here, we collate and share tips and tricks from our collective experiences to support the learning curve and outcomes in DMEK for both the novice and more experienced corneal transplant surgeons.
format Article
id doaj-art-70b9db8bf65a42c4b7b03c14ee7f8273
institution Kabale University
issn 2090-004X
2090-0058
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Journal of Ophthalmology
spelling doaj-art-70b9db8bf65a42c4b7b03c14ee7f82732025-02-03T05:47:05ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/18194541819454Tips, Tricks, and Guides in Descemet Membrane Endothelial Keratoplasty Learning CurveDavide Borroni0Carlos Rocha de Lossada1Mohit Parekh2Kunal Gadhvi3Chiara Bonzano4Vito Romano5Hannah J. Levis6Aris Tzamalis7Bernhard Steger8Miguel Rechichi9Marina Rodriguez-Calvo-de-Mora10International Center for Ocular Physiopathology, The Veneto Eye Bank Foundation, Venice, ItalyDepartment of Ophthalmology, University Hospital Virgen de Las Nieves, Granada 18014, SpainInstitute of Ophthalmology, University College London, London, UKDepartment of Ophthalmology, Royal Liverpool University Hospital, Liverpool, UKEye Clinic, DiNOGMI, University of Genoa and IRCCS San Martino Polyclinic Hospital, Genoa, ItalyDepartment of Eye and Vision Science, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UKDepartment of Eye and Vision Science, Institute of Life Course and Medical Sciences, University of Liverpool, Liverpool, UK2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, GreeceDepartment Ophthalmology, Medical University of Innsbruck, Innsbruck, AustriaCentro Polispecialistico Mediterraneo, Sellia Marina, ItalyDepartment of Ophthalmology, Regional University Hospital of Malaga, Malaga 29010, SpainLamellar keratoplasty is fast becoming the most popular form of corneal transplantation. The adoption of Descemet membrane endothelial keratoplasty (DMEK) in the management of Fuchs endothelial dystrophy and pseudophakic bullous keratopathy is partly responsible for this shift in the paradigm of management of corneal pathology. The learning curve of DMEK, however, has been proven to be much steeper than previous endothelial keratoplasty procedures. To ease the procedure, experts have proposed multiple innovative techniques from tissue preparation to graft unfolding to aid the more novice surgeon. Here, we collate and share tips and tricks from our collective experiences to support the learning curve and outcomes in DMEK for both the novice and more experienced corneal transplant surgeons.http://dx.doi.org/10.1155/2021/1819454
spellingShingle Davide Borroni
Carlos Rocha de Lossada
Mohit Parekh
Kunal Gadhvi
Chiara Bonzano
Vito Romano
Hannah J. Levis
Aris Tzamalis
Bernhard Steger
Miguel Rechichi
Marina Rodriguez-Calvo-de-Mora
Tips, Tricks, and Guides in Descemet Membrane Endothelial Keratoplasty Learning Curve
Journal of Ophthalmology
title Tips, Tricks, and Guides in Descemet Membrane Endothelial Keratoplasty Learning Curve
title_full Tips, Tricks, and Guides in Descemet Membrane Endothelial Keratoplasty Learning Curve
title_fullStr Tips, Tricks, and Guides in Descemet Membrane Endothelial Keratoplasty Learning Curve
title_full_unstemmed Tips, Tricks, and Guides in Descemet Membrane Endothelial Keratoplasty Learning Curve
title_short Tips, Tricks, and Guides in Descemet Membrane Endothelial Keratoplasty Learning Curve
title_sort tips tricks and guides in descemet membrane endothelial keratoplasty learning curve
url http://dx.doi.org/10.1155/2021/1819454
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