Prof. Dr. Martin Dirisamer from Munich, Germany is a recognized expert in DMEK surgery and he presents a challenging case here. This patient had prior LASIK and now needs a combined cataract surgery plus a DMEK corneal transplant. For IOL calculations, be sure to take into account the effect of the prior LASIK as well as the small refractive shift from the DMEK graft. The case poses a challenge because the graft is challenging to unroll and position. To achieve success, a 27g cannula was used to push the graft into position and it worked very well.
Click to learn from this phaco + DMEK case from Prof. Dr. Martin Dirisamer: