Descemet Membrane Stripping
Painstakingly peeling away the diseased internal cell lining through a micro-incision entry.
Corneal Transplant
Cornea Services
Endothelial Keratoplasty (DSEK)
Sutureless DSEK at Neera Eye Centre, Delhi — replace the damaged endothelial layer through a micro-incision for faster visual recovery.
Sutureless
No large surface stitches
Keyhole
Micro-incision delivery
24–48 hrs
Face-up positioning
1–3 mo
Typical visual clarity
Service Overview
Internal fluid management failures inside the eye can cause the cornea to cloud over, resulting in chronic visual drop-offs. Descemet Stripping Endothelial Keratoplasty is a sutureless, partial-thickness transplant that replaces only the non-functioning innermost cell layer along with a thin supporting slice of stroma. Our clinics utilize advanced micro-insertion devices to slide this thin tissue disc through a small side incision. This eliminates the need for large surface stitches and ensures swift visual recovery.
What It Covers
Automated Graft Preparation
Utilizing micro-keratome tools to slice an ultra-thin donor endothelial disc consistently.
Micro-Incision Delivery
Folding or rolling the thin donor layer safely to insert it without damaging the delicate cells.
Air Bubble Fixation
Deploying a temporary medical gas or air bubble inside the chamber to press and bond the graft upward.
Rapid Visual Rehabilitation
Eliminating extensive corneal stitches to allow the front surface to remain completely stable.
Who It Is For
Fuchs Endothelial Dystrophy
Patients experiencing progressive cell loss on the back wall of the cornea that causes morning blurriness.
Pseudophakic Corneal Edema
Individuals suffering from persistent corneal swelling after complex cataract surgical sessions.
Graft Decompensation Stages
Mild failure profiles in older full transplants where only the back cell lining needs replacement.
How It Works
Internal Stripping
The non-functional inner cells and Descemet's membrane are gently scored and peeled away from the back of the stroma.
Graft Slide Entry
The prepared donor disc is introduced into the interior eye chamber using a specialized insertion tool.
Gas Floating
An air bubble is injected underneath the donor disc, floating it securely up against the host bed where it self-adheres.
Why Choose Us
Our corneal restoration department focuses heavily on advanced keyhole endothelial therapies. We utilize custom micro-shear insertion tools that protect the donor cell density during the delicate delivery phase. Our specialized post-operative positioning protocols ensure excellent graft adherence rates and provide rapid visual recovery for our patients.
Frequently Asked Questions
What specific post-operative positioning is required after DSEK?
Patients must lie flat on their backs facing upward for the first 24 to 48 hours to allow the air bubble to float the graft into place.
How quickly does visual clarity return after a DSEK procedure?
Because the outer surface remains uncut and free of heavy sutures, clear vision often returns within 1 to 3 months.
What happens to the internal air bubble used during the surgery?
The body naturally absorbs the harmless internal air or gas bubble completely within a few days following the session.
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