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Clinical observations reveal stromal thinning and hyperopic shift linked to corneal thickness after DMEK, suggesting underlying biophysical factors.
Greater reductions in corneal thickness are associated with postoperative stromal thinning and hyperopic shift after DMEK. Preoperative stromal ripples are associated with greater reductions in corneal thickness after DMEK. Stromal remodeling appears influenced by endothelial recovery and preoperative biomechanical status, supporting emerging hypotheses on keratocyte loss and osmotic imbalance.
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Borgia et al. (2026) studied this question.
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