Descemet Membrane Endothelial Transfer (DMET)
Based on recent clinical observations made after DMEK, where the cornea cleared even when an endothelial graft was almost completely detached , a new surgical concept was presented at the Netherlands Institute for Innovative Ocular Surgery in 2012: Descemet membrane endothelial transfer (DMET) . Going forward from DMEK, DMET consists of the implantation of a Descemet roll that is mostly “free floating” in the anterior chamber being attached only to the corneal incision . In this chapter, we will discuss the observations that led into the development of DMET and the possible mechanism(s) behind (spontaneous) corneal clearance.
KeywordsCorneal Endothelial Cell Donor Graft Bullous Keratopathy Endothelial Keratoplasty Descemet Membrane
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