Descemet membrane endothelial keratoplasty (DMEK) is becoming an increasingly popular method of corneal transplantation. Dr Alain Saad explains that this is likely due to the quicker recovery time, better visual acuity, and lower complication rate associated with DMEK. He also describes some of the challenges that can be experienced during surgery, and how many of these can be overcome with comprehensive training and good instrumentation. Finally, Dr Saad looks ahead to the future of DMEK.
1. We tend to see a real hype on Descemet membrane endothelial keratoplasty (DMEK), compared to other corneal transplantation techniques, such as penetrating keratoplasty. What is your personal rationale for the rising popularity of this surgical technique? (0:08)
2. Why is it so challenging and where do you see the most critical steps in preparation and in transplantation? (1:07)
3. What is your recommendation and what are your pearls on how to master those challenges? (2:46)
4. Where do you see DMEK going to – what will the future bring? (3:43)
Speaker disclosures: Alain Saad is a consultant for Geuder and Bausch+Lomb.
Support: This video interview was supported by Geuder.
Filmed at the 36th Congress of the European Society of Cataract & Refractive Surgeons (ESCRS), Vienna, Austria, 22–26 September 2018