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In this film, we’ll highlight small modifications to enhance DMEK surgery. Proactively exchanging a hydrophilic IOL can mitigate the risk of IOL opacification. An air-filled syringe can aid visualization and keep the AC formed during descemetorhexis. A special syringe can deliver the graft in a more controlled manner to the AC. Every DMEK surgeon will learn great tips to apply in their next case.