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DSAEK is described as the procedure of choice for corneal endothelial failure in many centers. Descemet Stripping Automated Endothelial Keratoplasty DSAEK DSAEK is a partial thickness cornea transplant procedure that involves selective removal of the patient's Descemet membrane and endothelium, followed by transplantation of donor corneal endothelium in addition to donor corneal stroma Figure 8. The graft is unfolded over the recipient peripheral iris, taking care of touch between stromal surface of the graft and the underlying structures to avoid endothelial damage intraoperatively.


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Then a circular disc is removed from the inner lining of a donor cornea. Postoperative visual acuity can be very good, but there is some limitation from the effects of the stroma-to-stroma graft-host interface.

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Descemet Stripping Endothelial Keratoplasty

Web Privacy Policy Nondiscrimination Statement. Not all patients with corneal pathology are candidates for DSEK.

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An air bubble of approximately 8 to 9 mm is usually left in place to help further stabilize the donor disc position over the first 24 hours postoperatively. DSAEK offers the advantage of relatively rapid healing time and visual rehabilitation. The indication depends on decreased vision related to corneal swelling from poorly functioning endothelium. A temporal self-sealing 5.
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