DSEK involves the removal and replacement of the posterior portion of the cornea either the endothelial layer only or it may include Descemet's membrane, depending on the accuracy of the dissection.
DSEK grafts can easily be distinguished from their transplant counterparts' due to the fact that there are far fewer sutures; usually only three are required at the limbus to close the wound used to access the anterior chamber.
Namrata, Prafulla K Maharana, Sree Latha K Gunasekharan, Dermot Cassidy, Rasik B Vajpayee, chapter 24-25, Intra op and post op complications in DSEK
, Different strokes, 1st ed.
The graft thickness would be variable in our cases that underwent DSEK
with manual preparation of the donor lenticule.
Price (executive director, Cornea Research Foundation of America) use diagrams and photographs to explain basic DSEK
techniques as well as advanced methods for dealing with the air management of posterior grafts, postoperative care and special considerations for the eyes of Asian patients.