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FC Ophth(SA) Final Practice Questions - Fellowship Of The College Of Ophthalmologists Of South Africa Final Examination Exam

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A 62-year-old female reports bilateral morning blurriness that improves as the day progresses. Slit-lamp examination reveals bilateral central Descemet membrane guttae ('beaten copper' appearance) and mild central stromal edema. Specular microscopy shows an endothelial cell count of 750 cells/mm² with marked pleomorphism and polymethism. Which surgical procedure offers the thinnest selective endothelial replacement for this condition?
Correct Answer:
Descemet Membrane Endothelial Keratoplasty (DMEK)

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