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Is DSAEK Corneal Transplant:
Right For You?

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DSAEK is a modern partial-thickness corneal transplant procedure designed to replace only the diseased inner layers of the cornea – the Descemet’s membrane and endothelium – while preserving the healthy anterior cornea. This technique offloads patients from the extensive recovery and complications associated with traditional full-thickness transplants by using a small incision and avoiding corneal sutures. With over 90% graft survival rates in many centers and rapid visual recovery in the majority of cases, DSAEK has become the procedure of choice for treating corneal endothelial dysfunction. Associated Eye Physicians & Surgeons of NJ proudly offers eye care at four convenient locations: Belleville serving Essex County, Rahway serving Middlesex and Union Counties, Jersey City serving Hudson County, and Union serving Union County.

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Dr. Randa Garrana, MD

With more than 41,000 LASIK surgeries under her belt and a Fellowship from Harvard in Cornea, External Disease, and Refractive Surgery, Dr. Randa M. Garrana is a leading authority in refractive and corneal surgery.

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Understanding DSAEK Corneal Transplant

DSAEK is a specialized surgical procedure that addresses vision loss caused by corneal endothelial dysfunction. Unlike traditional full-thickness corneal transplants that replace the entire cornea (penetrating keratoplasty or PK), DSAEK selectively replaces only the dysfunctional inner layers responsible for regulating corneal hydration. This targeted approach minimizes surgical trauma, speeds up recovery, and lowers the risk of complications, making it a highly favorable option among eye doctors for eligible patients.

By preserving the majority of the patient’s corneal tissue, DSAEK maintains the structural integrity of the eye while effectively resolving the issues that cause corneal edema and clouding. Through advanced microsurgical techniques and the use of donor tissue prepared by automated methods, this procedure offers a predictable outcome with minimal disruption to daily life.

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Are You Considering DSAEK?

If you or a loved one is experiencing symptoms of corneal endothelial dysfunction or have been diagnosed with conditions such as Fuchs’ endothelial dystrophy or bullous keratopathy, the first step is to schedule a consultation with our cornea specialist. During this evaluation, your medical history will be reviewed, and a comprehensive eye exam—including advanced imaging techniques like specular microscopy and anterior segment OCT—will be performed. Prepare to discuss your vision changes, any eye discomfort, and past ocular surgeries. Taking these steps early can prevent irreversible corneal damage, speed up recovery, and ensure you receive the most appropriate, personalized treatment plan. Do not delay your care—calling the office is an important next step toward restoring your vision.

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Common Symptoms of Corneal Endothelial Dysfunction

Patients with corneal endothelial dysfunction often experience a range of symptoms that can disrupt daily activities and quality of life, such as:

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Corneal Conditions Treated by DSAEK

DSAEK is indicated for several conditions where the posterior layers of the cornea are compromised.

The most common diseases and conditions include:

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DSAEK vs. DMEK: Understanding the Differences 

When it comes to corneal endothelial transplants, the two leading procedures are Descemet’s Stripping Automated Endothelial Keratoplasty (DSAEK) and Descemet’s Membrane Endothelial Keratoplasty (DMEK). Both techniques are designed to replace damaged endothelial cells, but they differ in their approach, outcomes, and suitability for different patients.

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Risk Factors of Corneal Endothelial Dysfunction

Understanding these risks helps in early detection and appropriate intervention:

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Diagnosis and the Importance of  Consulting a Cornea Specialist

Before determining eligibility for a DSAEK corneal transplant, a detailed diagnosis is essential. cornea specialists use several diagnostic tools to assess the health of the cornea:

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Causes of Corneal
Endothelial Dysfunction

Corneal endothelial dysfunction arises when the inner cell layer of the cornea loses its ability to regulate fluid balance, leading to persistent corneal swelling and loss of transparency. Certain factors can increase the likelihood of developing corneal endothelial dysfunction.

The causes include:

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The DSAEK  Surgical Procedure

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Challenges, Complications, and Postoperative Considerations DSAEK?

Early diagnosis is critical, because prompt treatment can prevent long-term damage and improve the success rate of the transplant. Even though some patients might be asymptomatic initially, periodic eye examinations are advised, especially for those with a family history or previous ocular surgeries.

Benefits and Advantages of
 DSAEK Corneal Transplant

DSAEK offers several significant benefits compared to traditional full-thickness corneal transplants (PK) or even other endothelial keratoplasty methods, making it a preferred choice for many patients:

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Frequently Asked Questions

Your Trusted Cornea Specialists Serving Central and Northern NJ

At Associated Eye Physicians & Surgeons of New Jersey, we understand the importance of restoring your vision and minimizing recovery time. Through the DSAEK corneal transplant procedure, we aim to provide a solution that suits your unique needs and lifestyle. Experience personalized, expert eye care by scheduling an appointment with our eye doctors in Belleville, Jersey City, Rahway, or Union, NJ.

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At Associated Eye Physicians of NJ, we’ve built our reputation on care that’s local, personal, and easy to get to. With offices in Belleville, Union, Jersey City, and Rahway, we’re proud to serve a wide range of communities across North and Central Jersey. Our Belleville team welcomes patients from all over Essex County, including Newark, Bloomfield, and Nutley. Rahway welcomes patients from across Middlesex and Union Counties, including nearby patients from Elizabeth, Avenel, Woodbridge, and Perth Amboy. Our Union office is a favorite for families from Union County, especially for those in Elizabeth and Cranford. And in Jersey City, we care for Hudson County residents, including our neighbors in Hoboken and Bayonne.

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