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The Young Ophthalmologist: Learn DMEK based on protocols from NIIOS
With the exception of a few staunch holdouts, almost everyone now agrees: Compared with conventional Descemet’s stripping endothelial keratoplasty, Descemet’s membrane endothelial keratoplasty offers better and faster visual results, less allograft reaction and fewer severe complications such as secondary glaucoma and cataract. In every head-to-head study (evaluating patients operated with both techniques: one eye DSEK, one eye DMEK), patients subjectively prefer the vision in their DMEK eye. And frequently, disappointing acuities after DSEK can be dramatically improved by replacing the grafts with DMEKs.