{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T20:46:38Z","timestamp":1777581998885,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T00:00:00Z","timestamp":1735862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>After 15 years of accumulated experience in the Descemet Membrane Endothelial Keratoplasty (DMEK) technique, this surgical method has demonstrated a high reproducibility and success rate. However, certain ocular conditions such as aphakia and previously vitrectomized eyes remain challenging. We describe a novel technique designed to improve surgical time and postoperative outcomes in these specific scenarios.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following delivery of the Descemet membrane graft into the anterior chamber (AC), a small air bubble was injected beneath the graft. One edge of the graft was grasped using the forceps. Subsequently, the external corneal surface was tapped, until the graft was unrolled.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In our experience, this technique has consistently led to a reduced surgical time and excellent anatomical outcomes, achieving complete membrane attachment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The technique developed and described herein provides a valuable surgical alternative for achieving successful DMEK outcomes in complex cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721241310623","type":"journal-article","created":{"date-parts":[[2025,1,3]],"date-time":"2025-01-03T03:19:24Z","timestamp":1735874364000},"page":"1141-1146","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["DMEK Surgical Strategy in Aphakic and Vitrectomized Eyes"],"prefix":"10.1177","volume":"35","author":[{"given":"Jos\u00e9 Luis","family":"G\u00fcell","sequence":"first","affiliation":[{"name":"Cornea and Refractive Surgery Unit, Instituto de Microcirug\u00eda Ocular (IMO), Barcelona, 08035, Spain"},{"name":"European School for Advanced Studies in Ophthalmology (ESASO), Lugano, Switzerland"},{"name":"Ophthalmology, Universidad Aut\u00f3noma de Barcelona, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5352-3683","authenticated-orcid":false,"given":"Martina Aguilera","family":"Z\u00fa\u00f1iga","sequence":"additional","affiliation":[{"name":"Cornea and Refractive Surgery Unit, Instituto de Microcirug\u00eda Ocular (IMO), Barcelona, 08035, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugo","family":"Alonso-Reyes","sequence":"additional","affiliation":[{"name":"Cornea and Refractive Surgery Unit, Instituto de Microcirug\u00eda Ocular (IMO), Barcelona, 08035, Spain"},{"name":"UNAM \u2013 Universidad Nacional Aut\u00f3noma de M\u00e9xico, Ciudad de M\u00e9xico, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nuno","family":"Moura-Coelho","sequence":"additional","affiliation":[{"name":"Cornea and Refractive Surgery Unit, Instituto de Microcirug\u00eda Ocular (IMO), Barcelona, 08035, Spain"},{"name":"European School for Advanced Studies in Ophthalmology (ESASO), Lugano, Switzerland"},{"name":"NOVA Medical School \u2013 Universidade Nova de Lisboa, Lisbon, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eloyna","family":"Lindez-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Cornea and Refractive Surgery Unit, Instituto de Microcirug\u00eda Ocular (IMO), Barcelona, 08035, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,3]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2015.07.003"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0000000000000288"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/ICO.0b013e3182000e2e"},{"key":"e_1_3_2_5_2","article-title":"Secondary DMEK after failed DSEK graft in complex eyes \u2013 retrospective case series","volume":"2022","author":"Moura-Coelho N","year":"2021","unstructured":"Moura-Coelho N, Cunha JP, Amich N, et al. Secondary DMEK after failed DSEK graft in complex eyes \u2013 retrospective case series. J EuCornea. 2021; 2022.","journal-title":"J EuCornea."},{"key":"e_1_3_2_6_2","first-page":"390","article-title":"Descemet-membrane endothelial keratoplasty in patients with retinal comorbidity-a prospective cohort study","volume":"9","author":"Spaniol K","year":"2016","unstructured":"Spaniol K, Holtmann C, Schwinde JH, et al. Descemet-membrane endothelial keratoplasty in patients with retinal comorbidity-a prospective cohort study. 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