DSAEK Corneal Transplant
Descemet Stripping Automated Endothelial Keratoplasty (DSAEK)—a proven corneal transplant technique offering excellent outcomes for endothelial disease.
Overview
DSAEK (Descemet Stripping Automated Endothelial Keratoplasty) is an established partial-thickness corneal transplant technique for treating diseases of the corneal endothelium—the vital pumping layer that keeps your cornea clear.
In DSAEK, the diseased endothelial layer is removed and replaced with healthy donor tissue that includes endothelial cells and a thin layer of supporting stroma. The graft is positioned using an air bubble and adheres naturally without sutures.
Compared to traditional full-thickness corneal transplants, DSAEK offers faster recovery, greater structural stability, and reduced risk of injury. It has been performed successfully for over two decades with excellent long-term results.
While DMEK offers theoretical advantages in visual outcome, DSAEK remains an excellent choice for many patients and may be preferred in certain clinical situations.
What This Means for You
- Proven technique with extensive long-term data
- Greater structural stability than DMEK
- Suitable for a wider range of clinical situations
- No corneal sutures required
- Lower rejection risk than full-thickness transplant
Ms. Menassa's Approach
Ms. Menassa offers both DMEK and DSAEK, selecting the most appropriate technique for each individual patient. In some cases—such as eyes with complex anatomy or previous surgery—DSAEK may be the preferred option.
Her approach prioritises achieving the best possible outcome for each patient rather than applying a one-size-fits-all solution. She will discuss the pros and cons of each technique during your consultation.
All corneal transplant patients receive comprehensive pre-operative counselling and close post-operative follow-up, ensuring you understand your journey and feel supported throughout.
Is This Right for You?
- Patients with Fuchs' Endothelial Dystrophy
- Those with corneal swelling from endothelial failure
- Patients with complex eyes where DMEK may be challenging
- Those who have had previous eye surgery affecting surgical approach
Frequently Asked Questions
DSAEK may be preferred if you have had previous eye surgery, have certain anatomical variations, or if the surgeon assesses that DSAEK will offer the safest and most predictable outcome for your specific situation.
Yes, you will need to maintain a face-up position for the first few days after surgery to help the transplant tissue adhere. Ms. Menassa will give you detailed instructions about positioning requirements.
DSAEK recovery is significantly faster than traditional full-thickness transplant. You will not have corneal sutures, and visual improvement begins within weeks rather than months. Full visual recovery typically occurs within 6-12 months.
Quick Facts
Duration
45-60 minutes
Anaesthesia
Local anaesthesia with sedation
Recovery
Visual improvement typically within 1-3 months; full recovery 6-12 months
Pain Level
Mild discomfort
Guide Price
per eye, includes donor tissue
A detailed quote will be provided following your consultation.
View All FeesReady to Learn More?
Take our quick suitability quiz or book a consultation to discuss your options with Ms. Menassa.
Understanding Your Condition
Learn more about the conditions this treatment addresses. Knowledge is the first step toward confident decision-making.
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