Advances in Descemet membrane endothelial keratoplasty
10.3760/cma.j.cn115989-20190616-00263
- VernacularTitle:角膜后弹力膜内皮移植术研究进展
- Author:
Wei WANG
;
Guigang LI
;
Tseng Scheffer C. G.
- From:
Chinese Journal of Experimental Ophthalmology
2021;39(2):149-153
- CountryChina
- Language:Chinese
-
Abstract:
With relatively low rejection rate and better visual prognosis, Descemet membrane endothelial keratoplasty (DMEK) has become the mainstream surgery for the treatment of endothelial dysfunction in some developed countries, but it has not been applied widely in China due to technical difficulties, the long learning curve, shallow anterior chamber of Chinese people, and the fact that domestic corneal endothelial lesions are often accompanied with other complex eye diseases.In this review, the indications, donor graft preparation including donor selection, graft preparation techniques and visualization of graft, key surgical techniques including the implantation, unwrapping and positioning of graft, postoperative complications including graft detachment, high intraocular pressure, rejection, endothelial cell loss, graft survival rate, and visual prognosis of DMEK were reviewed.
