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Advanced Technical IVT

DSAEK

Also written as: DSAEK — Descemet's Stripping Automated Endothelial Keratoplasty

Corneal transplant technique replacing only the posterior corneal layers through a small incision.

Full Definition

Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) is a partial-thickness corneal transplant procedure that selectively replaces the diseased endothelium and Descemet's membrane while preserving the patient's healthy anterior corneal structures. This technique offers advantages over penetrating keratoplasty including faster visual recovery, stronger wound integrity, reduced astigmatism, and lower risk of rejection. The donor tissue is prepared using a microkeratome to create a posterior lamellar graft that is inserted through a small temporal incision and positioned using an air bubble for attachment.

Usage

Usage note: Always capitalize all letters in the abbreviation; distinguish from related techniques DMEK and DSEK.

In Context

  • "DSAEK was performed to treat the patient's pseudophakic bullous keratopathy with excellent graft attachment." — Post-operative summary
  • "The DSAEK procedure resulted in rapid visual rehabilitation compared to traditional penetrating keratoplasty." — Comparative outcome study

Also known as

endothelial keratoplasty posterior lamellar keratoplasty

Contrasted with

penetrating keratoplasty anterior lamellar keratoplasty

Don't confuse with

DMEK DSEK DALK

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