How to Perform Descemet’s Membrane Endothelial Keratoplasty: A Step by Step Guide

Descemet’s Membrane Endothelial Keratoplasty (DMEK) is a type of lamellar (partial thickness) corneal transplantation in which the endothelium, along with Descemet’s membrane, is transferred. This technique has gained increased popularity in recent years and is expected to become more prominent and widely used among the various types of corneal transplantation. This review article provides a step-by-step guide for corneal surgeons on conducting DMEK. Like any other surgical procedure, gaining experience and completing consecutive surgeries can improve the delicate and precise execution of this procedure. Watching videos, observing live surgeries performed by experienced surgeons who have sufficient expertise in this procedure, and ultimately performing the surgery under the guidance of experienced individuals are factors that contribute to better surgical outcomes. This text serves solely as a guide for performing the continuous stages of DMEK.