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.
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.