This webinar introduces a novel approach to utilize the artificial iris to restore anterior chamber (AC) anatomy, so as to facilitate DMEK surgery in complex cases of bullous keratopathy, glaucoma, or previous failed grafts. The main concept is one of enhancing surgical control of the donor tissue and the anterior chamber. Enhanced donor control can be achieved using the pull-through technique, while surgical control of the DMEK AC environment is to restore the anatomical architecture of the AC, including restoration of the angles by synechiolysis, removal of abnormal and non-functional iris, restoration of the lens-iris diaphragm through stabilization of a posterior chamber IOL, and fixation of the CustomFlex Artificial Iris, prior to DMEK surgery.
Donald Tan, MD, is a Clinical Professor in Ophthalmology at the Singapore National Eye Centre and Duke-National University of Singapore Medical School, and a senior partner at Eye & Retina Surgeons. His clinical interests and research are in development of corneal transplantation techniques and surgical devices, and in myopia control therapies. A past president of the Cornea Society, Prof. Tan is also the founding and current President of the Asia Cornea Society. He was inducted as a member of the Academia Ophthalmologica Internationalis in 2018, and currently serves as an International Trustee-at-Large for the Board of Trustees of the American Academy of Ophthalmology.