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Sidra Zafar,1 Jack S Parker,2,3 Christa de Kort,3,4 Gerrit Melles,3,4 Shameema Sikder11Department of Ophthalmology, Wilmer Eye Institute, Johns Hopkins Hospital, Baltimore, MD, USA; 2Parker Cornea, Birmingham, AL, USA; 3Netherlands Institute for Innovative Ocular Surgery-United States of America, San Diego, CA, USA; 4Melles Cornea Clinic, Rotterdam, NetherlandsPurpose: To determine barriers related to implementation of Descemet’s membrane endothelial keratoplasty (DMEK) among corneal surgeons.Methods: This was a multicenter survey study of all corneal surgeons who participated in a DMEK wet lab organized by the Netherlands Institute for Innovative Ocular Surgery. Data related to barriers limiting uptake of DMEK surgery, self-perceived levels of competence, and difficulty with different steps of DMEK surgery were analyzed.Results: The survey response rate was 31% (22 of 72). The most common barrier to uptake of DMEK surgery identified was anxiety related to incorrect insertion of the tissue and the need to regraft (64%, 14 of 22), followed by anxiety related to tissue preparation (50%, eleven of 22). Surgeons also felt anxious regarding the possibility of rebubbling with initial DMEK (41%, nine of 22). Steps related to DMEK graft (76%) preparation, tissue insertion (41%), and graft unfolding (72%) were identified as the most difficult steps to learn by the respondents.Conclusion: The DMEK learning curve, especially for the novice surgeon, may be shortened by seeking educational resources, including wet labs and surgical videos. Eye banks may facilitate adoption of DMEK by making validated DMEK tissue more accessible to surgeons globally.Keywords: DMEK, uptake, barriers, difficulties

Hintergrund: Untersuchung der Transplantatüberlebensrate und der klinischen Ergebnisse der ersten Fallserie 10 Jahre nach Descemet Membran Endothelkeratoplastik (DMEK). Methoden: Retrospektive Fallserie basierend auf prospektiv gesammelten Daten. Nach Exklusion der ersten 25 DMEK Augen der Lernkurve,[zum vollständigen Text gelangen Sie über die oben angegebene URL], 182. Versammlung des Vereins Rheinisch-Westfälischer Augenärzte

Volunteer tourism or ‘voluntourism’ packages development and poverty as culturally exotic and ethical experiences for tourists from industrialized countries. In the university sector study abroad tours network voluntourism agencies, local actors, e.g. NGOs, universities and government funding to offer students ‘life changing’ experiential and community development learning. Recent criticism of the commodification of development and poverty through such tours points to multiple pernicious effects of such travel, especially the failure to deliver community impact. Following review of current criticism of voluntourism, this illustrative case study of a purported sustainable housing project in rural Maharashtra employs multiple data sources and covert research to explore the multiple gaps between participatory community sustainable development and voluntourism. The study finds signal lack of financial transparency, incompetent assessment of material needs, and limited local participation and control, failure to deliver on objectives, and recommends that socially responsible short term international exchanges should be carefully monitored and prefer knowledge exchange.

Purpose: To assess the clinical outcome of the first consecutive series of Quarter-Descemet Membrane Endothelial Keratoplasty (Quarter-DMEK), a hybrid technique between Descemet membrane endothelial transfer (DMET) and conventional, circular DMEK. Method: Prospective interventional case series of[for full text, please go to the a.m. URL], 30. Internationaler Kongress der Deutschen Ophthalmochirurgen

Objective: To describe the use of 360° Scheimpflug imaging as a diagnostic tool for detection and documentation of subtle corneal changes preceding an upcoming allograft rejection after Descemet membrane endothelial keratoplasty (DMEK). Method: 17 eyes (16 patients) were diagnosed with a clinically[zum vollständigen Text gelangen Sie über die oben angegebene URL], 29. Internationaler Kongress der Deutschen Ophthalmochirurgen

To be mentioned in the presentation: Jose F. Alfonso, Francisco Arnalich-Montiel, Matthias Böhnke, Nicolas Cesário Pereira, John Parker, Konstantinos Droutsas, Gerd Geerling, Georg Gerten, Hassan Hashemi, Akira Kobayashi, Miguel Naveiras, Oganes Oganesyan, Emeterio Orduña Domingo, Siegfried[for full text, please go to the a.m. URL], 27. Internationaler Kongress der Deutschen Ophthalmochirurgen

Objective: To define and evaluate various Descemet-graft unfolding techniques in Descemet membrane endothelial keratoplasty (DMEK). Setting/Venue: Retrospective surgical video analysis at a tertiary referral center. Method: The surgical videos of 100 consecutive DMEK cases (100 patients) [for full text, please go to the a.m. URL], 26. Internationaler Kongress der Deutschen Ophthalmochirurgen

Hintergrund: Evaluation der Visusergebnisse und Endothelzelldichte der ersten 100 Augen nach Descemet-Membran-Endothelkeratoplastik (DMEK) zur Behandlung einer Fuchs'schen Endotheldystrophie. Methoden: Es wurden die ersten 100 Augen (87 Patienten) evaluiert, bei denen eine DMEK (d. h. die Transplantation[for full text, please go to the a.m. URL], 83. Versammlung der Vereinigung Rhein-Mainischer Augenärzte

Transplantation of labial salivary glands to the eyelids for patients with dry eye appears to give excellent results clinically. To obtain more scientific evidence for this surgery, the human tear proteome was characterized and compared with salivary proteins. Not only the possible beneficial effects of the surgery in patients with dry eye disease were confirmed; the tear fluid proteome appears to contain a lot of additional information, possibly reflecting other ophthalmological and even non-ophthalmological pathologies. Top-down proteomics of tears is superior to the bottom-up approach because multiple molecular forms are detected as products of the same genes. Since structurally different protein forms are likely to have different bioactivities, the identification of these so called proteoforms, which is largely missed in bottom-up proteomics, is essential to understand the effect of a specific protein in relation to a disease. The combination of Schirmer strip based tear fluid sample collection, automated heat stabilization, a microfluidic chip-based capillary electrophoresis unit, and a benchtop high resolution mass spectrometer may make proteoform profiling of tears become applicable in the peripheral ophthalmic practice.

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Design writing began to appear in scholarly journals over thirty years ago, coinciding in Australia with the transition of design into universities. Concurrently, a significant increase of women in the field actuated feminist-informed 'women and design' writing, raising important questions about gendered practices. Yet these ideas are not taken up in broader literatures, while publication and citation rates demonstrate the dominance of men in discipline-building 'practices' (Green 2009). This paper argues that the problematically gendered interactions between women, design and scholarly writing are reproduced through the operation of certain scholarly practices. The argument is supported through an empirical audit and analysis of the publication histories of two key journals, conducted in conjunction with a feminist reading of the Australian ERA Indicator Descriptors (ARC, 2008) of research output. I suggest this reading has the potential to productively disrupt and reconceptualise the gendered relations between women, men and design scholarship.