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DMEK surgical training: An instructional guide on various wet-lab methods
Mohit Parekh1, Alessandro Ruzza2, Marco Rovati3
1Schepens Eye Research Institute of Mass Eye and Ear, Department of Ophthalmology, Harvard Medical School, Boston, MA, USA.
Survey of Ophthalmology
|July 1, 2023
Summary
Descemet membrane endothelial keratoplasty (DMEK) training labs offer a risk-free environment for surgeons to master this challenging corneal transplant technique. This guide provides step-by-step instructions for preparing DMEK grafts, aiding skill development and wider adoption.
Area of Science:
- Ophthalmology
- Corneal Surgery
- Transplantation Medicine
Background:
- Descemet membrane endothelial keratoplasty (DMEK) is a partial-thickness corneal transplant offering faster visual recovery and better outcomes.
- DMEK presents a steep learning curve, hindering widespread adoption among corneal surgeons.
- Surgical training laboratories (wet labs) are crucial for developing DMEK surgical skills.
Purpose of the Study:
- To provide a comprehensive, step-by-step guide for preparing DMEK grafts.
- To offer instructional videos demonstrating various graft preparation techniques on human and nonhuman models.
- To facilitate understanding of DMEK procedure requirements and wet lab conduct for trainees and educators.
Main Methods:
- Detailed procedural steps for DMEK graft preparation.
- Inclusion of instructional videos for visual learning.
- Utilization of both human and nonhuman models for training.
Main Results:
- A structured guide to DMEK graft preparation techniques.
- Demonstration of graft manipulation and delivery in a simulated environment.
- Enhanced understanding of the practical aspects of DMEK surgery.
Conclusions:
- DMEK wet labs are essential for surgeon training and overcoming the procedure's learning curve.
- This guide and associated videos support skill acquisition for DMEK graft preparation.
- Facilitating training can increase the global adoption of DMEK procedures.
