Ophthalmologists are realizing that for lamellar corneal transplantation, PDEK (Pre-Descemet's Endothelial Keratoplasty) is better than DMEK, which is better than DSEK. I enjoyed a lecture from Dr Dinh Thi Hoang Anh from Viet Nam and Dr Yury Kalinnikov from Russia where they taught the nuances to ensure success with PDEK. Because it uses Dua’s layer, PDEK provides significantly greater structural integrity than the delicate Descemet's membrane used in DMEK. This added toughness simplifies tissue handling and prevents the frequent tearing seen in DMEK. Furthermore, PDEK allows for easier graft centration and unfolding, reducing surgical time while maintaining excellent visual outcomes.We feature a new podcast every week on Sundays and they are uploaded to all major podcast services (Apple, Google, Spotify) for enjoying as you drive to work or exercise. We have sponsorship opportunities available for the top podcast in all of ophthalmology. Please contact us to inquire.