With the development of advanced tissue processing of donor corneas, performing DMEK surgery has been greatly simplified. We are now able to get DMEK grafts that are pre-cut to the desired thinness with a specific diameter and then stained/marked and even pre-loaded into an injector system. This facilitates the surgery and makes it more predictable and precise. Our guest surgeon does a beautiful job of a combined phaco and DMEK and we go over some of the important pearls for success in these cases. If you are just getting started in DMEK, be sure to check out our other DMEK videos which go through the configurations step by step.