Surgeons preferences in descemet membrane endothelial keratoplasty (DMEK).

Autor: Alnahdi MA; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, P.O. Box 3660, Riyadh, 11481, Saudi Arabia. m1alnahdi@gmail.com.; Department of Ophthalmology and Vision Sciences, University of Toronto, Toronto, ON, Canada. m1alnahdi@gmail.com., Alhabdan NA; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, P.O. Box 3660, Riyadh, 11481, Saudi Arabia., Alfarhan A; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, P.O. Box 3660, Riyadh, 11481, Saudi Arabia.; King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia., Taha MA; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, P.O. Box 3660, Riyadh, 11481, Saudi Arabia.; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.; Ophthalmology Division, Surgery Department, King Abdulaziz Medical City, National Guard Health Affairs, Riyadh, Saudi Arabia.
Jazyk: angličtina
Zdroj: International ophthalmology [Int Ophthalmol] 2022 Dec; Vol. 42 (12), pp. 3681-3690. Date of Electronic Publication: 2022 May 25.
DOI: 10.1007/s10792-022-02365-8
Abstrakt: Aim: To explore the attitudes, preferences, and barriers of DMEK among corneal specialists in Saudi Arabia.
Method: An anonymous survey was sent through an online platform to members of the Saudi Ophthalmological Society. The survey was designed to capture data covering: demographic data, practice patterns of keratoplasty techniques, DMEK technique preferences, barriers, and facilitators to performing DMEK.
Results: Thirty-five (33% response rate) surgeons participated in the questionnaire. Sixty-eight percent were in practice for less than or equal to 10 years. Thirteen surgeons were performing DMEK. Participating in any training capacity was observed among surgeons who performed DMEK (92%). The main selection criteria for this procedure were patients with normal anterior chamber anatomy (77%). The main barrier against DMEK adoption among surgeons who do not perform the procedure was the lack of experience (91%). Strategies to help begin performing DMEK were eye banks support (prepared grafts, backup tissue for inadvertent loss), access to wet-lab training courses, and higher surgical volume.
Conclusion: DMEK is not highly performed among corneal specialists in Saudi Arabia; however, there is evident interest in adopting this technique. Strategies toward filling the gap of lacking experience would facilitate the adoption of the procedure. Eye banks play a crucial role by providing prepared tissues, which would lessen part of the technical difficulty.
(© 2022. The Author(s), under exclusive licence to Springer Nature B.V.)
Databáze: MEDLINE
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