Descemet’s Stripping Endothelial Keratoplasty (DSEK) and Descemet’s Membrane Endothelial Keratoplasty (DMEK) are cornea transplant techniques that replace only the damaged cell layer instead of the entire thickness of the cornea, as in a standard corneal transplant. DSEK or DMEK is indicated when there is corneal clouding due to a dysfunction of the endothelium, but the other layers of the cornea are healthy. These procedures allow the patient to achieve a much quick visual recovery.

Surgery is usually performed in an outpatient surgery center, under local anesthesia, and takes about 45 minutes. For the first 24 hours after surgery, you will be asked to lie on your back with your face pointed directly toward the ceiling. This will help the endothelial graft stay in position as an air bubble holds it up into place on your cornea. You will be given several drops to use to prevent infection as well as to help the eye heal comfortably.