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.
Shanbhag SS, Hoshing A, Basu S. Descemet Membrane Endothelial Keratoplasty: To Do or Not to Do? JAMA Ophthalmol. 2015;133(6):724–725. doi:10.1001/jamaophthalmol.2015.0475
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