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Descemet membrane endothelial keratoplasty (DMEK) is a method of corneal transplantation that involves the removal of a thin sheet of tissue from the posterior (innermost) side of a person's cornea to replace it with the two posterior (innermost) layers of corneal tissue from a donor's eyeball.
removing all the contents of the eyeball during evisceration (complete removal of all structures within the eye in diseases like endophthalmitis: Lid plate: flat large instrument that has a groove and is placed between the lid and globe of the eye to provide a solid support for eyelid surgery Hammer, chisel and bone gouge: bone cutting and shaping
The DMEK procedure is a 'like for like' replacement of the diseased part of the cornea with visual rehabilitation to 20/40 or better in 90% of cases and 20/25 or better in 60% of cases within the first three months. Rejection rates are lower (1%) and visual recovery is faster than any other form of corneal transplantation.
On the left note the adult eye before Pre Descemets Endothelial Keratoplasty surgery . The eye is white and patient cannot see. On the right is same patient after Pre Descemets Endothelial Keratoplasty surgery using a young donors 25 micron corneal tissue . Note the clear eye and patient can see the last line on the vision testing.
Eye surgery, also known as ophthalmic surgery or ocular surgery, is surgery performed on the eye or its adnexa. [1] Eye surgery is part of ophthalmology and is performed by an ophthalmologist or eye surgeon. The eye is a fragile organ, and requires due care before, during, and after a surgical procedure to minimize or prevent further damage.
Manual small incision cataract surgery (MSICS) is an evolution of extracapsular cataract extraction (ECCE); the lens is removed from the eye through a self-sealing scleral tunnel wound. A well-constructed scleral tunnel is held closed by internal pressure, is watertight, and does not require suturing.
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Bullous keratopathy, also known as pseudophakic bullous keratopathy (PBK), is a pathological condition in which small vesicles, or bullae, are formed in the cornea due to endothelial dysfunction.