DESCEMET’S STRIPPING ENDOTHELIAL KERATOPLASTY
Decreased vision related to corneal swelling from a poorly functioning endothelium, usually due to Fuchs dystrophy or after cataract or another ocular surgery.
DSEK involves removing the damaged endothelial cells and Descemet’s membrane and replacing it with partial thickness graft including donor endothelium and Descemet’s membrane. This surgery is performed through a small incision, requiring that the graft be folded or rolled to get it into the eye. It is then held into position with an air bubble for a period of time, after which (most of the time) it adheres.