Patient Ready DMEK™

Lesson #1: Inject Grafts Correct Side Up

90' Counter Counter Clockwise Rotation

Rotate Straiko-Jones Tube Clockwise

 

 

Lesson #2: Know the Common Conformations and How to Open Them

Scroll

To Open:

Most likely next conformation(s):

Simple Fold

To Open:

Most likely next conformation(s):

Inverted

Video provided by Michael Straiko, M.D.

To Flip:

Most likely next conformation(s):

  1. Scroll
  2. Simple Fold

Double Scroll

To Open:

Most likely next conformation(s):

  1. Simple Fold (most likely)
  2. Bouquet (if eccentric tapping)

Bouquet

Video provided by Michael Straiko, M.D.

To Open:

Most likely next conformation(s):

  1. Simple/edge Fold(s)
Edge Fold

To Open:

Most likely next conformation(s):

  1. Done!

Origami

To Resolve:

Most likely next conformation(s):

  1. Scroll

Taco

It Depends:

Most likely next conformation(s):

  1. Simple Fold
  2. Scroll (if deepen AC with BSS)
  3. Origami

Let's Dance! - One Step Back, Three Steps Forward

50/50 Taco → Attempted Roll with BSS
Origami → Tap (Already Deep)
Simple Fold → Dirisamer Technique
Edge Folds → Release Fluid, Indent and Release, Simple Tapping

Lesson #3: Try to Open the Graft Prior to Removing the Injector

 

The above content was created by Peter Veldman, MD with the support of Lions VisionGift, and may not be reproduced without express permission from the author. Permission will not be granted for commercial uses.

 

Peter Veldman, MD Peter Veldman, MD
Assistant Professor
Vice Chair for Education
Residency Program Director
University of Chicago - Department of Ophthalmology and Visual Science
5841 S. Maryland Avenue MC 2114
Chicago, IL 60637
p.  773.702.5984
f.  773.926.0685
e.  pveldman@bsd.uchicago.edu

Current Eye Banks licensed to process Patient Ready DMEK™

Lions VisionGift

Georgia Eye Bank

UT Southwestern Eye Bank

Alabama Eye Bank

Utah Lions Eye Bank

Lions Eye Bank of Delaware Valley