Department of Cornea and Anterior Segment, All India Institute of Medical Sciences, Patna, Bihar, India.
Cornea and Anterior Segment, Sankara Eye Hospital, Kanpur, Uttar Pradesh, India.
Indian J Ophthalmol. 2022 Sep;70(9):3222-3238. doi: 10.4103/ijo.IJO_2933_21.
Descemet membrane endothelial keratoplasty (DMEK) is the closest to the physiological replacement of endothelial cells. In the initial years, the technique was surgically challenging. Over the years, with better understanding and modifications in the surgical steps, the technique has evolved as an alternative to more popular procedure Descemet stripping endothelial keratoplasty. The article highlights the various preoperative, intraoperative, and postoperative nuances of DMEK. Additionally, it summarizes the various comparative and noncomparative studies on DMEK outcomes.
Descemet 膜内皮角膜移植术（DMEK）最接近生理上的内皮细胞置换。在最初的几年里，该技术在手术上具有挑战性。多年来，随着对手术步骤的更好理解和改进，该技术已经发展成为比更受欢迎的 Descemet 撕囊内皮角膜移植术更具优势的替代方法。本文重点介绍了 DMEK 的各种术前、术中和术后的细微差别。此外，它还总结了关于 DMEK 结果的各种对照和非对照研究。
