Dr.Samar Kumar Basak, Dr.Soham Basak
This teaching video demonstrates a simplified technique to perform Stitch less Descemet Membrane Endothelial Keratoplasty (DMEK) which is highly reproducible. It shows – simplified way of preparing donor roll and also simple donor injector system.
The actual surgery is suture less via 3.0 mm scleral tunnel incision rather than via corneal incision with suture(s). This tunnel helps in injecting donor roll parallel to the iris. No need of putting suture(s) before unrolling the DM scroll. Gentle tapping and play with BSS from side ports helps complete unrolling of the donor tissue, even if it is in reverse direction. After complete unroll, inject air from one of the side ports after placing the needle near pupil.
The advantages are – no need of suture removal and the incision is astigmatically neutral.
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