DSAEK (Descemet’s Stripping Automated Endothelial Keratoplasty)
DSAEK (Descemet’s Stripping Automated Endothelial Keratoplasty)
DSAEK surgery at The Sight Centre offers an advanced solution for those suffering from corneal endothelial disorders. This partial corneal transplant technique can significantly improve vision while preserving most of your own corneal tissue.
By selectively replacing the innermost layers of the cornea, we can restore clarity and function to eyes affected by conditions like Fuchs’ dystrophy and bullous keratopathy.
Our experienced team of consultant ophthalmologists combines surgical precision with state-of-the-art technology to deliver this sight-saving procedure safely and effectively.
Benefits of DSAEK
- Replaces only the diseased inner corneal layers
- Faster visual recovery compared to full-thickness corneal transplants
- Lower risk of rejection than traditional transplants
- Minimal change to the eye’s overall structure
- Suitable for various endothelial disorders
- Stronger wound healing compared to full-thickness transplants
- Potential for better long-term outcomes
What is DSAEK?
DSAEK (Descemet’s Stripping Automated Endothelial Keratoplasty) is a specialised form of corneal transplant surgery that replaces the innermost layers of the cornea – the endothelium, its basement membrane (Descemet’s membrane), and a thin layer of attached stroma.
The procedure involves carefully removing the damaged endothelial layer and replacing it with a thin disc of donor tissue. This graft, typically 100-200 microns thick, is then carefully positioned and secured in place, where it adheres to the back of the patient’s cornea.
DSAEK is typically performed under local anaesthesia and takes about 45-60 minutes to complete.
BOOK APPOINTMENTWhy Choose DSAEK?
Discover the vision-restoring benefits of DSAEK. This advanced corneal transplant technique can help improve your vision while minimising surgical impact on your eye.
Selective Tissue Replacement
DSAEK replaces only the diseased endothelial layer and a thin layer of stroma, preserving most of your healthy corneal tissue.
Quicker Visual Recovery
Many patients experience faster visual recovery with DSAEK compared to full-thickness corneal transplants.
Reduced Rejection Risk
The minimal amount of transplanted tissue leads to a lower risk of graft rejection compared to full-thickness transplants.
Natural Corneal Shape Preservation
DSAEK largely maintains the natural shape of your cornea, potentially resulting in better optical quality.
Suitable for Various Conditions
DSAEK is an excellent option for endothelial disorders like Fuchs’ dystrophy and bullous keratopathy.
Minimally Invasive
The procedure requires only a small incision, leading to faster healing and reduced surgical risks.
Stronger Wound Healing
DSAEK provides stronger wound healing compared to full-thickness transplants, reducing the risk of wound dehiscence.
Your Treatment Journey
At The Sight Centre, we understand that any eye surgery can be concerning. That’s why our team of expert ophthalmologists is dedicated to guiding you through every step of the DSAEK process and ensuring your comfort and safety.
Preparation and Anesthesia
Before your surgery, we’ll administer local anaesthesia to ensure your comfort throughout the procedure. Your eye will be thoroughly cleaned and prepared for surgery.
Surgical Procedure
Your surgeon will make a small incision in your cornea to carefully remove the damaged endothelial layer. The pre-cut donor tissue is then delicately inserted and positioned. An air bubble is injected to help the graft adhere to your cornea.
Post-Operative Care
Immediately after your surgery, we’ll provide detailed post-operative care instructions.
These may include maintaining a specific head position for the first day or two, using prescribed eye drops, and attending regular follow-up appointments. Most patients can go home the same day, but you’ll need someone to drive you.
DSAEK FAQs
How long does it take to recover from DSAEK?
Initial recovery takes about 1-2 weeks, but vision continues to improve over several months. Many patients see significant improvement within the first few weeks to months.
Will I need to use anti-rejection medication after DSAEK?
Yes, you’ll need to use steroid eye drops to prevent rejection, typically for several months. Your ophthalmologist will provide a detailed medication plan.
How does DSAEK compare to other corneal transplant techniques?
DSAEK often provides faster visual recovery compared to full-thickness transplants. It has a lower rejection risk than full-thickness transplants but may have slightly higher rejection rates than DMEK.
Will I need glasses or contact lenses after DSAEK?
Many patients still require glasses or contact lenses after DSAEK to achieve their best vision, particularly for reading. Your prescription may change as your eye heals.
What are the risks associated with DSAEK?
While generally safe, risks can include graft dislocation, primary graft failure, and rejection. Your surgeon will discuss all potential risks with you during your consultation.
How soon can I return to work after DSAEK?
Most patients can return to office-based work within 1-2 weeks, but this can vary. Your surgeon will provide specific guidelines based on your individual case and healing progress.
Restore Your Vision with The Sight Centre
Ready to take the first step towards clearer vision? Contact our team to arrange your DSAEK consultation.
