Donor preparation in descemet membrane endothelial keratoplasty

Descemet membrane endothelial keratoplasty (DMEK) is currently the preferred endothelial keratoplasty technique.The major challenges in performing DMEK include donor cornea preparation and graft attachment.The availability of pre-stripped DMEK tissue in western countries may address the problem of donor preparation.However, in developing countries the lack of facility for the same is a major obstacle in the widespread use of this surgical technique.This review summarises the current available techniques of DMEK donor preparation in addition to a modified simple technique of DMEK roll preparation by the authors.