Descemet membrane endothelial keratoplasty in complex eyes.

ABSTRACT:

Purpose of review

To review the current literature on Descemet membrane endothelial keratoplasty (DMEK) in complex eyes.

Recent findings

DMEK surgery has become a standardized procedure in Fuchs endothelial dystrophy and simple bullous keratopathy. But eyes with more complex disease present unique intraoperative and postoperative challenges to the DMEK surgeon. Poor visualization during surgery, complex anterior segment anatomy, altered anterior chamber dynamics, glaucoma shunts, and congenital or iatrogenic missing or altered iris and lens make DMEK surgery extremely difficult to accomplish.

Summary

DMEK is feasible in complex eyes, including advanced bullous keratopathy, eyes with history of glaucoma or vitreoretinal surgery, previous penetrating keratoplasty, uveit

SUBMITTER: Siddiqui A 

PROVIDER: S-EPMC9261113 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature