Scaffolding helps decrease risk for graft detachment in complex DMEK/PDEK cases

One of the major problems in endothelial keratoplasty is graft detachment or dislocation. This is more common in thin membrane endothelial keratoplasties such as Descemet’s membrane endothelial keratoplasty and pre-Descemet’s endothelial keratoplasty. It especially becomes an issue in eyes that need to undergo surgeries such as secondary IOL implantation, phacoemulsification or glaucoma surgery combined with endothelial keratoplasty. It is also a problem in eyes that have more complex anterior segment abnormalities such as those with aphakia, glaucoma drainage devices or lack of a