Objective: This study aimed to evaluate the long-term graft survivability of locally prestripped versus imported prestripped Descemet membrane endothelial keratoplasty (DMEK) grafts in Edmonton.
Design: Prospective cohort study of patients who underwent DMEK surgery between January 1, 2020, and December 31, 2020.
Participants: All patients receiving a DMEK transplant during the study period in Edmonton.
Objective: This study aimed to show the cost-effective benefits of creating a sustainable local program where Descemet membrane endothelial keratoplasty (DMEK) grafts were prepared locally instead of imported from American eye banks.
Design: Retrospective observational study.
Methods: In 2018, 2 local technicians were trained to prestrip DMEK grafts in Edmonton up to 2 days before surgery when local donor tissue was available.