Preventing and Managing Postoperative Complications in DMEK Surgery

  • Christopher S. Sáles
  • Zach M. Mayko
  • Mark A. Terry
  • Michael D. Straiko


At its crux, what makes DMEK surgery so wonderful for patients is also what makes it challenging for surgeons – the tissue. DMEK tissue provides rapid visual recovery, superb quality of vision, and reduced risk of rejection because it has no stroma. Yet, the absence of stroma is also what makes the tissue curl into a fragile scroll that is difficult for the DMEK surgeon to see and manipulate.


Anterior Chamber Slit Lamp Corneal Edema Visual Recovery Anterior Segment Optical Coherence Tomography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Dapena I, Moutsouris K, Droutsas K, et al. Standardized “No-Touch” technique for descemet membrane endothelial keratoplasty. Arch Ophthalmol. 2011;129:88–94.CrossRefPubMedGoogle Scholar
  2. 2.
    Kruse FE, Laaser K, Cursiefen C, et al. A stepwise approach to donor preparation and insertion increases safety and outcome of descemet membrane endothelial keratoplasty. Cornea. 2011;30:580–7.PubMedGoogle Scholar
  3. 3.
    Yeh R-Y, Quilendrino R, Musa FU, et al. Predictive value of optical coherence tomography in graft attachment after descemet’s membrane endothelial keratoplasty. Ophthalmology. 2013;120:240–5.CrossRefPubMedGoogle Scholar
  4. 4.
    Dirisamer M, Ham L, Dapena I, et al. Descemet membrane endothelial transfer: “free-floating” donor descemet implantation as a potential alternative to “keratoplasty”. Cornea. 2012;31:194–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Sáles CS, Terry MA, Straiko MD. Novel apparatus for safely and ergonomically rebubbling DMEK grafts at the slit lamp. Cornea. 2016;35:582–5.Google Scholar
  6. 6.
    Terry MA, Shamie N, Chen ES, et al. Endothelial keratoplasty a simplified technique to minimize graft dislocation, iatrogenic graft failure, and pupillary block. Ophthalmology. 2008;115:1179–86.CrossRefPubMedGoogle Scholar
  7. 7.
    Terry MA. Endothelial keratoplasty: why aren’t we all doing descemet membrane endothelial keratoplasty? Cornea. 2012;31:469–71.CrossRefPubMedGoogle Scholar
  8. 8.
    Ciechanowski PP, Droutsas K, Baydoun L, et al. Standardized descemet membrane endothelial keratoplasty (DMEK): technique and latest results. Ophthalmologe. 2014;111:1041–9.CrossRefPubMedGoogle Scholar
  9. 9.
    Chaurasia S, Price Jr FW, Gunderson L, Price MO. Descemet’s membrane endothelial keratoplasty clinical results of single versus triple procedures (combined with cataract surgery). Ophthalmology. 2014;121:454–8.CrossRefPubMedGoogle Scholar
  10. 10.
    Terry MA, Straiko MD, Veldman PB, Talajic JC, VanZyl C, Sales CS, Mayko ZM. Standardized DMEK technique: reducing complications using prestripped tissue, novel glass injector, and sulfur hexafluoride (SF6) gas. Cornea. 2015;34:845–52.Google Scholar
  11. 11.
    Maier PC, Heinzelmann S, Böhringer D, Reinhard T. Intraocular lens opacification following posterior lamellar keratoplasty. Klin Monbl Augenheilkd. 2015;232(8):976–81.CrossRefPubMedGoogle Scholar
  12. 12.
    Werner L, Wilbanks G, Nieuwendaal CP, Dhital A, Waite A, Schmidinger G, Lee WB, Mamalis N. Localized opacification of hydrophilic acrylic intraocular lenses after procedures using intracameral injection of air or gas. J Cataract Refract Surg. 2015;41(1):199–207.CrossRefPubMedGoogle Scholar

Copyright information

© Springer India 2016

Authors and Affiliations

  • Christopher S. Sáles
    • 1
  • Zach M. Mayko
    • 2
  • Mark A. Terry
    • 3
  • Michael D. Straiko
    • 4
  1. 1.Weill Cornell MedicineNew YorkUSA
  2. 2.Lions VisionGiftPortlandUSA
  3. 3.Devers Eye InstitutePortlandUSA
  4. 4.Devers Eye InstitutePortlandUSA

Personalised recommendations