Vaccaro S, Bosio L, Parekh M, Gadhvi K, Giannaccare G, Scorcia V, Semeraro F, Kaye S, Romano V. Surgical goniolens for tag identification and removal in DMEK surgery. Eur J Ophthalmol. 2022;:11206721221149482.
Abstract
INTRODUCTION: We describe a novel technique for identifying endothelial Descemet membrane (DM) tags remaining after descemetorhexis in patients undergoing Descemet membrane endothelial keratoplasty (DMEK) surgery. METHODS: A surgical goniolens is applied to the corneal surface after descemetorhexis in order to visualize the peripheral inner corneal layer at 360° and identify endothelial-DM tags. RESULTS: A detailed visualization of the peripheral inner corneal layer is possible using goniolens, without using any staining in the anterior chamber. CONCLUSION: The technique may be used to screen the posterior corneal surface for any retained endothelial-DM tags. It may to lower the risk of remaining tags and indirectly lower the incidence of DMEK graft detachment.
Last updated on 03/06/2023
