Abstract

Bullous keratopathy is a commonly encountered case in cornea clinic. Most of the patients with bullous keratopathy are late in presentation. They will either have associated stromal scarring or sphincter atrophy or iris defects or peripheral anterior synechiae or subluxated IOL or a combination of either. Careful planning of such cases for Descemet membrane endothelial keratoplasty (DMEK) need to be done with proper pre-operative counselling. Performing DMEK in such cases possess additional challenges of intraoperative bleeding, identifying the correct graft orientation, graft detachment and primary graft failure. This video demonstrates step by step DMEK in a case of Bullous keratopathy associated with 270 degree peripheral anterior synechiae and sphincter atrophy. Successful DMEK in such cases not only alleviates the pain of bullous keratopathy but also leads to good visual outcome.
Financial interest: No
Conflict of Interest: No