DSEK/PKP for Cornea Treatment


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DSEK

Descemet’s Stripping with Endothelial Keratoplasty (DSEK) a newer cornea transplant technique that replaces only the damaged cell layer instead of replacing the entire thickness of the cornea. With this technique cornea heals much faster and stronger and the patient’s visual recovery is better. Because this technique leaves a smoother surface and significantly improves the visual results, it has become a preferred method for treatment for Fuchs’ Dystrophy and pseudophakic bullous keratopathy.

The DSEK procedure can overcome many of these problems associated with a standard corneal transplant. With a DSEK procedure only the abnormal inner lining of the cornea is removed. A thin, circular disc is then removed from the inner lining of a donor cornea. This is folded and placed inside of the eye where an air bubble pushes it in place until it heals in an appropriate position. No sutures are required and the structure of the cornea remains intact, leading to a faster visual recovery and less astigmatism.

The DSEK procedure is done under local anesthesia and takes approximately 45 minutes. For the first 24 hours after surgery you will be asked to lie on your back with your face pointed directly to the ceiling for as much time as you can tolerate. This will help the graft stay in position as the 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. After the first 48 hours there are minimal restrictions to your activities. The vision is usually better within one week. 80% of the healing has taken place by one month but the vision can continue to slowly improve over the next four to six months.

PKP

Penetrating Keratoplasty (PKP) involves replacing an eye’s scarred, diseased or damaged cornea with clear corneal donor tissue. This procedure can improve visual acuity as it is replacing the cloudy cornea with clear donor tissue.

PKP is suitable for those with for corneal decomposition, corneal dystrophies (other than keratoconus) including Fuch’s Dystrophy, and corneal trauma/corneal scarring.

The donor cornea is prepared to create the corneal “button.” The corneal button will become the transplanted cornea. The diseased, or scarred, cornea is then removed, creating a “bed” for the transplant cornea. Finally, the donor cornea is gently sewn into place with ultra-fine sutures (approx. one-third the thickness of human hair, or less). Stitches are typically removed at one year.

Postoperatively, patients should expect very gradual recovery of vision. In fact, the best vision may not be obtained for six to 12 months or more following surgery, even though vision may be improved from the first day after surgery in some cases.

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Cataracts

Cataract patients now have an option to see at both near and far distances after cataract surgery! NEW multi-focal IOL technology can now decrease dependence on glasses after surgery.

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Locations

Avon
36505 Detroit Road
Avon, Ohio 4401

440-934-5816

Beachwood
25101 Chagrin Boulevard, Suite 150
Beachwood, OH 44122

Office Staff:  216-359-1734
Optical: 216-359-3002

Bedford
320 Broadway Ave, Suite C
Bedford OH, 44146

440-439-2700

Brecksville
7001 S. Edgerton Rd., Suite B
Brecksville, Ohio 44141

440-526-1974

Cleveland
2740 Carnegie Ave.
Cleveland, Ohio 44115

216-621-6132

Elyria
1180 E. Broad St.
Elyria, Ohio 44035

440-366-6969

Lorain
1710 Cooper Foster Park Road W
Lorain, Ohio 44053

440-960-2020

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