■Surgical tips for DALK

• DALK can be used for keratoconus / PMCD / keratoglobus, post LASIK ectasia, post INTACS / CXL, corneal scars, stromal dystrophy & degeneration, ocular surface reconstruction, infections.
• DALK should considered as procedure of choice for corneal diseases with healthy endothelium.
• Surgical techniques continue to evolve ensuring greater success of Big Bubble DALK.
• Preoperative evaluation & surgical planning essential to minimize complications.
• Femtolaser technology & ASOCT may help improve outcomes in future.

■Surgical tips for DMEK

• DMEK can be used for bullous keratopathy and endothelial dysfunction, like pseudophakic / aphakic bullous keratopathy, Fuch’s endothelial dystrophy, failed graft, ICE syndrome, CHED.
• Several advantages of DMEK over other techniques of Endothelial Keratoplasty.
• Faster visual recovery, better quality of vision, minimal refractive shift and reduced rejection rates make DMEK an ideal procedure to manage endothelial disorders.
• Step wise approach to learning DMEK, along with proper selection of initial cases can make the learning curve easier for corneal surgeons.