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?

Descemet Membrane Endothelial Keratoplasty (DMEK) Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) Penetrating Keratoplasty (PKP) Deep Anterior Lamellar Keratoplasty (DALK)

Correct Answer:

Descemet Membrane Endothelial Keratoplasty (DMEK)

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