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Arab Board Ophthalmology Final Written Practice Questions - Arab Board Ophthalmology Final Written Examination Exam

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A 66-year-old female presents with bilateral blurred vision that is worse upon waking and improves gradually throughout the day. Slit-lamp examination reveals confluent central endothelial guttata with a 'beaten metal' appearance and early central stromal haze with microcystic epithelial edema. Endothelial cell density on specular microscopy is 650 cells/mm2. What is the surgical procedure of choice that replaces exclusively the diseased host layer while minimizing rejection risk?
Correct Answer:
Descemet membrane endothelial keratoplasty (DMEK)

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