Indian Journal of Ophthalmology (Jan 2023)

Descemet membrane endothelial keratoplasty (DMEK) aquarium: Diving in to learn DMEK surgical concepts

  • Purvasha Narang,
  • Vikas Mittal,
  • Manish Bansal,
  • Nancy Sehdev,
  • Vibha Yadav

DOI
https://doi.org/10.4103/ijo.IJO_1694_22
Journal volume & issue
Vol. 71, no. 3
pp. 996 – 998

Abstract

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A novel simulation model (without using human corneas) has been described for understanding the surgical concepts and developing tactile reflexes of Descemet membrane (DM) endothelium scroll manipulation and orientation in the anterior chamber, which are necessary for performing Descemet membrane endothelial keratoplasty (DMEK). Termed the “DMEK aquarium,” this model helps facilitate the understanding of different maneuvers of the DM graft needed inside the fluid-filled anterior chamber, like unrolling or unfolding, flipping or inversion, and checking orientation and centration in the host cornea. A stepwise plan for surgeons starting to learn DMEK utilizing various available resources is also suggested.

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