Corneal Endothelium Transplant - DSAEK o DMEK

Corneal endothelium transplant is becoming the more widespread kind of transplant. It is performed in case of corneal edema caused by cornea guttata or bullous keratopathy.

This transplant consists in the replacement of the only damaged inner layer (endothelium), instead of the whole cornea.

The biggest advantage of the corneal endothelium transplan is the vision recovery that is definitely faster campared to traditional transplant.

The most common technique to perform this surgery is called DSAEK and consist in removing only the endothelium from the patient’s cornea, replacing it with an healthy endothelium coming from a donor.

This thin corneal layer is removed and replaced with a new layer; than an air bubble is injected inside the eye to make the new endothelium adhere to the patient’s cornea.

There are several advantages when choosing corneal endothelium transplant instead of traditional transplant:

  • Corneal endothelium transplant post-op is pretty quick: usually patients experience a full vision recovery as soon as 3 months after surgery;
  • Only two or three suture points are needed, avoiding all complications related to traditional corneal transplant suture (high degree astigmatism, erosions and infections on the corneal surface);
  • Rejection risk, when speaking of corneal endothelium transplant is fairly lower compared to traditional transplants.

A new methodology for the corneal endothelium transplant is the DMEK (Descemet Membrane Endothelial Keratoplasty): here the tissue portion is even thinner and visual recovery hypothetically faster. Dr. Badalà performs this kind of endothelium transplant in case of bullouse keratopathy and cornea guttata in Milan and Catania.

Serenella Sanna, Medio Campidano (Serrenti)

Votazione: Eccellente
In 2005, after a number of visits and exams, I was diagnosed with Cornea Guttata Corneal Dystrophy and, all doctors told me that the corneal endothelial cells were disappearing and was going to become blind.

I looked ... Keep on reading this reviewfor second opinions in Sardinia, Italy and Spain, but the answer was always the same. One day my husband yelled at me “don’t give up and search the internet”. I went to my computer and searched: "Best Doctors for corneal dystrophy". I found Dr. Badalà and I decided to book a visit on March 10th, 2015.

I got to know Dr. Badalà in person: he reassured me and, with patience and simple words, explained a new technique of corneal transplant called DMEK.
He described the procedure step by step and told me I would have not become blind.
I did not know whether to cry or smile!

I underwent DMEK surgery on May 14, 2015. One month after surgery I could see colors clearly as I have not seen in years, since then at every follow-up (the last on January 26th, 2016) I keep receiving just good news.

I sincerely thank Dr. Badalà, for giving me hope and, most importantly, my sight back.