Temporary diaphragm to support DMEK in Aphakia скачать в хорошем качестве

Temporary diaphragm to support DMEK in Aphakia

DMEK in aphasic eyes is still challenging in the absence or reduced stability of the iridolenticular diaphragm that supports the graft during deployment and holds the gas bubble within the anterior chamber. Without this diaphragm, both the gas bubble and the thin endothelial graft could easily dislocate into the vitreous cavity. We present a new technique of implanting a temporary diaphragm contact lens for compartmentalization and temporary creation of a stable anterior chamber during the graft implantation and tamponade phase. After 3 weeks, the contact lens can be removed from the anterior chamber. Conclusion: The inversely implanted contact lens provides an easily accessible temporary diaphragm, making DMEK surgery a safer procedure even in complex eyes without an adequate posterior barrier. Peter Szurman, Eye Clinic Sulzbach, Knappschaftsklinikum Saar Citations during video: Sulzbach DMEK cartridge: Rickmann A, Wahl S, Katsen-Globa A, Szurman P. Safety analysis and results of a borosilicate glass cartridge for no-touch graft loading and injection in Descemet membrane endothelial keratoplasty. Int Ophthalmo. 2019; 39: 2295-2301. Liquid bubble preparation technique: Szurman P, Januschowski K, Rickmann A, Damm LJ, Boden KT, Opitz N. Novel liquid bubble dissection technique for DMEK lenticule preparation. Graefes Arch Clin Exp Ophthalmol. 2016; 254: 1819-1823 Shark fin mark: Rickmann A, Boden K, Trouvain AM, Müller LJ, Bocqué C, Thaler S, Szurman P. Clinical results after single asymmetrical shark fin for graft orientation in DMEK. Int Ophthalmol. 2021 Oct 31. Epub ahead of print