TY - JOUR T1 - More efficient use of donor corneal tissue with Descemet membrane endothelial keratoplasty (DMEK): two lamellar keratoplasty procedures with one donor cornea JF - British Journal of Ophthalmology JO - Br J Ophthalmol SP - 1265 LP - 1266 DO - 10.1136/bjo.2009.171629 VL - 94 IS - 9 AU - J T Lie AU - E A Groeneveld-van Beek AU - L Ham AU - J van der Wees AU - G R J Melles Y1 - 2010/09/01 UR - http://bjo.bmj.com/content/94/9/1265.2.abstract N2 - Since 1998, we have published several techniques for endothelial keratoplasty, popularised as deep lamellar endothelial keratoplasty (DLEK), Descemet stripping (automated) endothelial keratoplasty (DSEK/DSAEK) and Descemet membrane endothelial keratoplasty (DMEK).1–3 All of these techniques potentially provide the possibility of using a single donor cornea for more than one recipient: because only the posterior corneal layers are used in endothelial keratoplasty, the remaining anterior cornea may potentially be used in an anterior lamellar keratoplasty procedure.With the advent of DMEK, for which Descemet membrane with its endothelium is stripped from a donor corneo-scleral rim to subsequently become transplanted, the complete donor stroma is left intact for other different transplantation purposes,4 including a “full-stromal-thickness” deep anterior lamellar keratoplasty (DALK). However, the preparation of thin Descemet grafts may … ER -