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Comment & Response |

Descemet Membrane Endothelial Keratoplasty To Do or Not to Do?

Swapna S. Shanbhag, MS1; Abhishek Hoshing, DNB1; Sayan Basu, MBBS, MS1
[+] Author Affiliations
1Cornea and Anterior Segment Services, L V Prasad Eye Institute, Hyderabad, India
JAMA Ophthalmol. 2015;133(6):724-725. doi:10.1001/jamaophthalmol.2015.0475.
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To the Editor We read with great interest the article by Monnereau et al1 in which the authors reported the clinical outcomes of the initial Descemet membrane endothelial keratoplasty (DMEK) procedures performed by experienced corneal surgeons using a standardized “no-touch” surgical technique.2 They concluded that DMEK was feasible in most hands, with graft detachment being the most common complication (34.5% of 431 eyes). Since this study provides a realistic idea of the learning curve involved, an important question that needs to be asked is whether the results justify a switch to DMEK in the first place.

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June 1, 2015
Claire Monnereau, MSc; Isabel Dapena, MD, PhD; Gerrit R. J. Melles, MD, PhD
1Netherlands Institute for Innovative Ocular Surgery (NIIOS), Rotterdam, the Netherlands
1Netherlands Institute for Innovative Ocular Surgery (NIIOS), Rotterdam, the Netherlands2Melles CorneaClinic Rotterdam, Rotterdam, the Netherlands
1Netherlands Institute for Innovative Ocular Surgery (NIIOS), Rotterdam, the Netherlands2Melles CorneaClinic Rotterdam, Rotterdam, the Netherlands3Amnitrans Eyebank Rotterdam, Rotterdam, the Netherlands
JAMA Ophthalmol. 2015;133(6):725. doi:10.1001/jamaophthalmol.2015.0486.
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