First performed in India in 2013, pre-Descemet’s endothelial keratoplasty is beginning to gain traction in the United States. In this procedure, the pre-Descemet’s layer, Descemet’s and endothelium are transplanted, resulting in a fast recovery similar to Descemet’s membrane endothelial keratoplasty. In addition, PDEK offers an expanded range of candidates and donor tissue compared with DMEK, as well as an easier procedure for surgeons. To offer my patients the advantages of PDEK, I followed this approach with success.
When I was learning DMEK, preparing the tissue
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