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Donor tissue preparation for Descemet membrane endothelial keratoplasty
  1. Massimo Busin1,2,3,
  2. Vincenzo Scorcia1,2,
  3. Amit K Patel1,3,
  4. Gianni Salvalaio3,
  5. Diego Ponzin3
  1. 1Villa Serena Hospital, Department of Ophthalmology, Forlì, Italy
  2. 2University of Magna Graecia, Department of Ophthalmology, Catanzaro, Italy
  3. 3Fondazione Banca degli Occhi del Veneto, Venice, Italy
  1. Correspondence to Professor Massimo Busin, Villa Serena Hospital, Via Camaldolino 8, Forlì 47100, Italy; mbusin{at}yahoo.com

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We are pleased to note that Dr Zarei-Ghanavati and his team have replicated our technique (originally presented at the American Academy of Ophthalmology meeting in Atlanta 2008 and subsequently published)1 and agree that it is a viable, quicker and easier alternative to conventional donor preparation for Descemet membrane endothelial keratoplasty (DMEK) surgery.2 The process of pneumatic dissection described is essentially similar to ours; however, they have overlooked some key adaptations which further maximise the potential of this novel technique.

We performed a superficial keratectomy using a 300 μm microkeratome head prior to performing the pneumatic dissection. In the …

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