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.

Gianna Lo Castro, Siracusa (Lentini)

Votazione: Eccellente
A few years ago I discovered I had a quite rare disease called "Fuchs' dystrophy," which affects the cornea.

I had troubles driving and was always seeing through the fog. The fog was getting worse and worse, making it... Keep on reading this review difficult to distinguish different objects. I had great difficulty, even to watch TV.

I was considering myself on the way to blindness and was wondering how could I deal with my new "low vision status".  I did not give up and started looking around!

I finally found a specialist using cutting edge technology: Dr Badala. He explained me my condition and reassured me! Then he proposed a new corneal endothelium transplant called  DMEK. I finally decided and underwent surgery.

I faced some difficulties, like lying down supine for about 48 hours, but it was worth it! Now my low vision is just a memory!

I started to see immediately: everything was clear! I could even make out the pictures on TV! Coming back home, I saw my cat with its true colors in contrast: black and white, rather than an indefinite gray as before surgery !! So? !! ... Thanks a lot  Dr. Badalà!