Endothelium-in hydrodissection (Muraine) versus endothelium-out stripping graft preparation for Descemet Membrane Endothelial Keratoplasty: a prospective two-centre cohort study
This prospective two-centre cohort study found that while the Muraine endothelium-in hydrodissection technique for DMEK offers faster graft unfolding and equivalent early visual and endothelial outcomes compared to the standard endothelium-out method, it is associated with longer dissection times, higher rates of partial tissue loss, increased 6-month endothelial cell loss, and a significantly greater need for rebubbling due to air-only tamponade.