DMEK Surgical Strategy in Aphakic and Vitrectomized Eyes.

IF 1.4 4区医学 Q3 OPHTHALMOLOGY European Journal of Ophthalmology Pub Date : 2025-01-03 DOI:10.1177/11206721241310623

José Luis Güell, Martina Aguilera Zúñiga, Hugo Alonso-Reyes, Nuno Moura-Coelho, Eloyna Lindez-Pérez

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Abstract

Purpose: After 15 years of accumulated experience in the Descemet Membrane Endothelial Keratoplasty (DMEK) technique, this surgical method has demonstrated a high reproducibility and success rate. However, certain ocular conditions such as aphakia and previously vitrectomized eyes remain challenging. We describe a novel technique designed to improve surgical time and postoperative outcomes in these specific scenarios.

Methods: Following delivery of the Descemet membrane graft into the anterior chamber (AC), a small air bubble was injected beneath the graft. One edge of the graft was grasped using the forceps. Subsequently, the external corneal surface was tapped, until the graft was unrolled.

Results: In our experience, this technique has consistently led to a reduced surgical time and excellent anatomical outcomes, achieving complete membrane attachment.

Conclusions: The technique developed and described herein provides a valuable surgical alternative for achieving successful DMEK outcomes in complex cases.

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无晶状体和玻璃体切除眼的DMEK手术策略。

目的：经过15年的Descemet膜内皮角膜移植术（DMEK）技术的经验积累，该手术方法具有较高的重复性和成功率。然而，某些眼部疾病，如无晶状体和以前做过玻璃体切除术的眼睛仍然具有挑战性。我们描述了一种新颖的技术，旨在改善这些特定情况下的手术时间和术后结果。方法：将Descemet膜移植物放入前房（AC）后，在移植物下方注入一个小气泡。用镊子夹住移植物的一侧。随后，轻叩角膜外表面，直到移植物展开。结果：根据我们的经验，该技术一贯减少手术时间和良好的解剖效果，实现完整的膜附着。结论：本文发展和描述的技术为实现复杂病例成功的DMEK结果提供了一种有价值的手术选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Ophthalmology 医学-眼科学

CiteScore

3.60

自引率

0.00%

发文量

372

审稿时长

3-8 weeks

期刊介绍： The European Journal of Ophthalmology was founded in 1991 and is issued in print bi-monthly. It publishes only peer-reviewed original research reporting clinical observations and laboratory investigations with clinical relevance focusing on new diagnostic and surgical techniques, instrument and therapy updates, results of clinical trials and research findings.