Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK): Techniques, Tips & Ways to Prevent Dislocation
Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK): Techniques, Tips & Ways to Prevent Dislocation
Endothelial keratoplasty has developed at a rapid and exciting rate for the last 6 years. Although the DSEK and DSEAK method of endothelial keratoplasty is technically easier than its predecessor, DLEK, prevention of dislocation and primary graft failure have emerged as the primary challenges. In this video we present our method of performing DSEAK including the use of viscoelastic, optosol, stromal scraping, surface stroking and air bubble time, and give tips on the technique, care of the donor tissue and ways to prevent donor dislocation. We also present cases that illustrate the rapid and improved visual recovery seen in the DSAEK method of endothelial keratoplasty.