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Updated: May 14, 2026

Corneal Donor Tissue Preparation for Descemet's Membrane Endothelial Keratoplasty
Published on: September 17, 2014
[Descemetectomy as therapy option for visually disturbing roll in Descemet's membrane]
1Zentrum für Augenheilkunde, Klinik und Poliklinik für Allgemeine Augenheilkunde, Universität zu Köln, Deutschland. claus.cursiefen@uk-koeln.de
Purpose:
The aim was to demonstrate the feasibility of targeted removal of a central visually disturbing roll in Descemet's membrane after complicated cataract surgery.
Case Report:
a 76-year-old patient complained of halos and reduced visual acuity after external cataract surgery. At slit-lamp examination a central roll in Descemet's membrane was found (2 × 2 mm).
Results:
A targeted central descemetectomy was performed by circular descemetorhexis around the defect. Early postoperative visual acuity improved and halos disappeared. At 2 months postoperatively best corrected visual acuity (BCVA) was 1.0 and the endothelial cell count was not significantly changed.
Conclusions:
Central targeted descemetorhexis is a safe therapeutic option for visually disturbing defects of Descemet's membrane.
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