Fernández Vega-Cueto, LuisLisa Fernández, CarlosNaveiras, MiguelMadrid Costa, DavidAlfonso, José F.2023-06-162023-06-162019-11-070277-374010.1097/ICO.0000000000002193https://hdl.handle.net/20.500.14352/6000Received for publication July 5, 2019; revision received September 13, 2019; accepted September 17, 2019.Purpose: To evaluate the efficacy and safety of femtosecond laser-assisted in situ keratomileusis (FemtoLASIK) to correct the residual refractive error after Descemet membrane endothelial keratoplasty (DMEK). Methods: This case series study included 7 eyes that underwent FemtoLASIK after a DMEK surgery. The refractive error, uncorrected (UDVA) and corrected (CDVA) distance visual acuities, corneal topography (Sirius, CSO, Italy), and anterior segment optical coherence tomography (Visante, Carl Zeiss-Meditec AG, Jena, Germany) were registered at each postoperative follow-up visit. Results: All surgeries were uneventful, with no intraoperative or postoperative complications. The follow-up time after DMEK (before FemtoLASIK surgery) ranged from 18 to 36 months. The post-FemtoLASIK follow-up period ranged from 12 to 60 months. All cases experienced a significant improvement in UDVA after FemtoLASIK, all of them reaching a postoperative UDVA value ≥20/32. None of the eyes lost lines of CDVA, and 1 case showed a gain of lines of CDVA. In all cases, the refractive error, UDVA, and CDVA values remained stable at their respective postoperative follow-up visits. Furthermore, all topographic and pachymetric parameters were stable at the different postoperative follow-up visits. Conclusions: Our findings suggest that the residual refractive error after DMEK surgery can be safely and effectively treated with FemtoLASIK.engjournal articlehttp://dx.doi.org/10.1097/ICO.0000000000002193https://journals.lww.com/corneajrnl/Abstract/publishahead/FemtoLASIK_After_Descemet_Membrane_Endothelial.96294.aspxopen access617.713-089681.784617.753FemtoLASIKDMEKCirugíaOftalmologíaÓptica geométrica e instrumentalLáseres3213 Cirugía3201.09 Oftalmología2209.06 Óptica geométrica2209.10 Láseres