Descemet's Stripping Without Endothelial Keratoplasty

Daniel Garcerant; Nino Hirnschall; Nicholas Toalster; Meidong Zhu; Li Wen; Gregory Moloney


Curr Opin Ophthalmol. 2019;30(4):275-285. 

In This Article


In 2018 Kaufman et al.[20] proposed the term DWEK (descemetorhexis without endothelial keratoplasty) to describe this technique, rightly pointing out the need for standardized terminology as this operation and its variants are increasingly discussed. Alternative terminology has been proposed by Gorovoy, suggesting the term Descemet's stripping only (DSO).[21] Both have merits, but also flaws, as the surgery is still a keratoplasty – a term that is not synonymous with grafting. Nor is Descemet's stripping the only part of this operation, with its success increasingly seeming to be enhanced by adjuvant medical therapies. For the time being the consensus of opinion may be favoring DSO, which is the term we will use in this review.