ReviewDer Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft2020
[Descemet membrane endothelial keratoplasty DMEK - Donor and recipient step by step].
Review in Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 54 citations in OpenAlex.
- DMEK graft preparation techniques - liquid bubble technique compared to Melles technique.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- [Multilevel revision after complicated cataract surgery. Video article].Die Ophthalmologie · 2026Review
- [Sequential toric IOL implantation after phakic DMEK due to secondary transplant failure after perforating keratoplasty with high corneal astigm].Die Ophthalmologie · 2025Article
- Influence of Posterior Corneal Surface Irregularities on the Attachment of an Artificial Endothelial Layer (EndoART).Journal of clinical medicine · 2025Article
- Changing indications for keratoplasty: monocentric analysis of the past two decades.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025Article
- Advancements in bioengineering for descemet membrane endothelial keratoplasty (DMEK).NPJ Regenerative medicine · 2025Review
- Safety Profile of Intraoperative Corneal Debridement in Descemet Membrane Endothelial Keratoplasty (DMEK)-A Retrospective Comparative Study.Journal of ophthalmology · 2025Article
- Surgical management of complicated Descemet's membrane detachment in corneas without prior endothelial keratoplasty.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024Article
- Descemet Membrane Endothelial Keratoplasty after failed penetrating keratoplasty- case series and review of the literature.BMC ophthalmology · 2024Review
- Leadership in ophthalmology training : Opportunities and risks of medical specialist education.Die Ophthalmologie · 2024Review
- [Modern corneal diagnostics as the key for the correct classification of the disease and optimal treatment decisions].Die Ophthalmologie · 2023Review
- Non-invasive endothelial cell density measurement of in toto pre-stripped DMEK-roll - impact of pre- and intraoperative endothelial cell loss on postoperative midterm clinical outcome.Eye (London, England) · 2023Article
- [Leadership in ophthalmology training : Opportunities and risks of medical specialist education].Die Ophthalmologie · 2023Review
- Corneal Optical Densitometry in the Evaluation of 2-Year Graft Function Following Endothelial Keratoplasty.Journal of clinical medicine · 2023Article
- Assessing the Learning Curve for DMEK Using Post-Procedural Clinical Outcomes-Comparison of Four Different Surgeons during Two Different Periods.Journal of clinical medicine · 2023Article
- Temporary iris-lens diaphragm to assist descemet membrane endothelial keratoplasty in aphakic patients.American journal of ophthalmology case reports · 2022Article
- Reliability and efficiency of corneal thickness measurements using sterile donor tomography in the eye bank.Cell and tissue banking · 2022Article
- Thickness Measurement of Endothelium-Descemet Membrane in Descemt Membrane Detachment Patients Using High-Definition Optical Coherence Tomography.Journal of clinical medicine · 2022Article
- [Stage-appropriate treatment of keratoconus].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2021Article
- Review for special issue: Corneal lamellar surgery: Present outcomes and future perspectives.Taiwan journal of ophthalmologyReview
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In 2020 Descemet membrane endothelial keratoplasty (DMEK) has become the gold standard in Germany for the treatment of corneal endothelial diseases; however, the widespread use of DMEK was initially limited due to problems with donor preparation and the difficulty of correctly and gently unfolding the endothelial Descemet membrane (EDM) in the anterior chamber. Following the situational donor selection, the safe single-handed donor preparation of the cornea without tearing or even rupturing the EDM, including the indispensable peripheral semicircular orientation marking. Also presented is a step by step atraumatic loading of the glass cartridge, the introduction of the EDM roll into the anterior chamber, and its safe step by step unfolding based on (1) the sequential use of jets of fluid, (2) repeated tapping on the peripheral/central cornea, (3) controlled flattening of the anterior chamber, (4) use of air bubbles of defined size and finally, the fixation of the EDM in correct orientation to the back of the host cornea with a gas bubble. Since every wrong step with DMEK can have far-reaching consequences for patient and surgeon, this step by step pragmatic approach should minimize the incidence of donor tissue damage and failure in patient maneuvers.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.