DSAEK Keratoplasty

DSAEK: Advanced Corneal Transplant for Endothelial Disorders

Discover DSAEK, a cutting-edge corneal transplant technique for endothelial disorders. Learn about its benefits, procedure, and recovery process. Find out if you're a candidate for this innovative treatment that offers faster healing and improved vision.

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At OCL Vision, we offer advanced corneal transplantation techniques, including the innovative Descemet Stripping Automated Endothelial Keratoplasty (DSAEK).

This procedure focuses on replacing only the damaged inner layers of the cornea while preserving the healthy outer layers, significantly reducing the risk of rejection and offering a promising solution for patients with endothelial disorders such as Fuchs' dystrophy and bullous keratopathy.

What is Descemet Stripping Automated Endothelial Keratoplasty?

DSAEK: Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) is a specialised corneal transplant technique.

DSAEK is a partial-thickness corneal transplant procedure that replaces the damaged endothelial cells and Descemet's membrane with healthy donor tissue.

This advanced technique offers faster visual recovery and fewer complications compared to traditional full-thickness corneal transplants.

How Does DSAEK Work?

Discover DSAEK, a cutting-edge corneal transplant technique for endothelial disorders. 

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During a DSAEK procedure, the surgeon begins by making a small incision in the cornea. Through this opening, the damaged Descemet's membrane and endothelial cells are carefully removed. A thin layer of donor tissue, consisting of the endothelium, Descemet's membrane, and a small amount of supporting stroma, is then prepared using an automated microkeratome. This donor tissue is gently inserted through the incision and positioned onto the back surface of the patient's cornea. An air bubble is used to hold the graft in place, allowing it to adhere naturally. Over time, the new endothelial cells begin to function, pumping excess fluid out of the cornea and restoring clarity.

Benefits Descemet Stripping Automated Endothelial Keratoplasty

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  • Faster visual recovery: DSAEK allows for quicker visual rehabilitation compared to full-thickness corneal transplants. Many patients experience significant improvement in vision within weeks of surgery.
  • Better visual outcome: DSAEK provides improved visual acuity compared to other corneal transplants. Studies show that 38-100% of patients achieve visual acuity of ≥0.5 within 3 to 6 months after DSAEK.
  • Lower risk of rejection: DSAEK has a lower incidence of graft rejection. Rejection rates for DSAEK are reported to be 0-8%, compared to 1-23% for other corneal transplants.
  • Minimal refractive change: DSAEK induces less astigmatism and refractive error. There's typically only a small hyperopic shift of about 1.50 diopters after surgery.
  • Stronger post-operative eye: Because DSAEK preserves most of the patient's own cornea, the eye remains stronger and more resistant to injury compared to eyes that have undergone full-thickness transplants.

COST

How much is DSAEK Keratoplasty Surgery?

  • Initial consultation starting from £360 (scans required at an additional cost). For full pricing details, see our FAQs
  • 1 year of follow-up appointments
  • Personalised treatment plan

From

£12,300

Indicative Finance From

£126* p/m

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Discover every step of your journey with us

DSAEK Keratoplasty Patient Journey with OCL Vision

At OCL Vision, we understand that every patient’s eyes and goals are unique. That’s why your Keratoplasty experience is completely tailored to you, from your initial consultation through to your recovery and follow-up care. 

Our expert team is here to guide you with personalised support, advanced technology, and a commitment to outstanding award winning outcomes. 

Whether you’re just beginning to explore corneal transplant or preparing for surgery, you’ll feel informed, confident, and cared for at every stage of your journey.

Before Your Consultation

Get Ready for Your OCL Vision Consultation
To help you feel comfortable and make the most of your visit, we’ve outlined a few simple steps to prepare for your consultation at OCL Vision. Please take a moment to review them before your appointment.

1. Book Your Appointment 

Submit an enquiry through our website or call our team on 0203 369 2020. We will guide you through the booking process and take payment of a deposit or full consultation fee, depending on your appointment type. 

2. Discontinue Contact Lenses 

Please stop wearing contact lenses on the day of your consultation at a minimum. Some lens types may require a longer break, and our team will advise you accordingly based on your lens type. 

3. Access Your Patient Portal 

You will receive secure login details to access your personal OCL Vision patient portal. Here, you can view appointment times, payment balances and important updates. 

4. Plan Your Travel 

Your eyes will be dilated during the consultation, so you will not be able to drive afterwards. Please arrange alternative transport or speak to us about our travel concierge service if you need assistance. 

5. Bring Sunglasses 

Dilation can make your eyes sensitive to light for several hours. Sunglasses will help protect your eyes and make you more comfortable on your journey home. 

6. Provide Referral Letters 

If you have any referral letters from your GP or optometrist, please email them to us prior to your appointment or bring a copy with you. 

7. Get Insurance Authorisation 

If your consultation or procedure is covered by private medical insurance, please obtain an authorisation code from your insurer before your visit and share it with our team. 

What to Expect at Your Initial Consultation

Your initial visit to OCL Vision is designed to be thorough, personalised, and reassuring. During your consultation, you’ll receive a detailed assessment of your eye health, along with expert guidance on the best treatment options for your individual needs. The entire appointment takes approximately 1.5 hours and typically includes the following steps:

1. Check-In at Reception 

On arrival, our friendly reception team will welcome you and confirm your details before guiding you through the next steps of your visit. 

2. Advanced Diagnostic Testing 

You will be seen by one of our highly trained clinical technicians who will carry out a series of advanced diagnostic scans using the latest technology. These tests provide a detailed picture of your eyes and are essential for accurate diagnosis and personalised treatment planning. 

3. Visual Assessment with an Optometrist 

Next, you will meet one of our expert optometrists for a full visual assessment. This includes measuring your vision, eye pressure and refraction to ensure we have a complete understanding of your visual needs. 

4. Consultant Consultation 

You will then meet with the consultant you originally booked with. They will review your scan results and visual assessment, discuss your goals and expectations, and explain any suitable treatment options. You will have time to ask questions and receive expert advice tailored to your individual case. 

After Your Consultation, Before Surgery

If your consultant confirms that you're suitable for surgery, our dedicated Patient Liaison Team will be on hand to support you every step of the way. They’ll guide you through the next stages of the process, ensuring you feel fully informed, prepared, and confident moving forward.

1. Discuss Surgery Dates and Costs 

You will meet with a member of our Patient Liaison Team to review the next stages. They will discuss pricing, available procedure dates and any bespoke considerations based on your consultant’s recommendations. 

2. Secure Your Surgery Booking 

Once you are ready to proceed, we will help you: 

  • Choose a suitable surgery date
  • Pay your deposit (if applicable)
  • Submit your insurance authorisation code or set up a payment plan if required 

3. Complete Consent Forms 

You will receive a secure link to your Docusign pack, which includes consent forms and important information about your procedure. Please complete this ahead of your surgery date. 

4. Settle Your Balance in Advance 

Any outstanding balance must be cleared at least three weeks before surgery. If you are using private medical insurance, please ensure we have your valid authorisation code within this timeframe. 

5. Prepare for Surgery Day 

To ensure your procedure goes smoothly: 

  • Stop wearing contact lenses in the days or weeks before surgery, as advised by your consultant
  • Do not eat or drink before surgery if you are having sedation. Our team will give you clear guidance on this
  • Plan your journey home in advance, as you will not be able to drive afterwards

On the Day of Surgery

Your surgery day at OCL Vision is designed with your comfort, safety, and peace of mind in mind. From the moment you arrive, our expert surgical team will be there to guide and support you, ensuring you feel calm, well-informed, and fully cared for at every stage of the process.

1. Meet Your Nurse 

You will be greeted by one of our specialist nurses who will administer your pre-operative eye drops, explain your aftercare instructions and answer any final questions. You will also receive a take-home bag containing everything you need for recovery, including eye drops, shields and helpful guides. 

2. Anaesthetist Consultation (If Applicable) 

If your procedure involves sedation, you will meet with your anaesthetist to go over the details and ensure everything is in place for a smooth experience. 

3. Final Discussion with Your Surgeon 

Before the procedure begins, your surgeon will speak with you to confirm the treatment plan and give you an opportunity to ask any final questions. 

4. Undergo Your Procedure 

You will then be taken into our state-of-the-art operating theatre for your surgery. Our team will ensure you feel at ease throughout, and the procedure itself is typically quick and painless. 

5. Time to Rest 

After surgery, you will be shown to our relaxation suite where you can rest briefly under the care of our nurses. 

6. Heading Home 

Once you are ready, you will be discharged with your aftercare pack and clear instructions. You will need someone to accompany you home, as you will not be able to drive, or speak to us about our travel concierge service if you need assistance. 

 

After Surgery and Follow-Up

We believe your recovery is just as important as the procedure itself. That’s why our dedicated team is here to support you throughout the healing process. Your aftercare plan is carefully tailored to ensure a smooth recovery and the best possible long-term results for your vision.

1. Follow Your Aftercare Instructions 

Use your prescribed eye drops exactly as advised, and follow the guidance given to you on surgery day. This helps to promote healing and reduce the risk of complications. 

2. We Are Here If You Need Us 

If you experience any discomfort, unusual symptoms or concerns after your procedure, please contact us right away. You will have access to our dedicated emergency line for immediate support. 

3. Attend Your Follow-Up Appointments 

Your follow-up visits are essential for monitoring your healing and progress. Appointment details are visible in your patient portal. If you need to rearrange, simply contact our team and we will be happy to help. 

4. Refer a Friend and Be Rewarded 

You’ve experienced world-class care at OCL Vision, now it’s time to share it. When you refer a friend or family member, they’ll receive £200 off their surgery, and you’ll get a £25 Amazon gift voucher as a thank you once they’ve completed treatment. Because great vision is worth sharing.

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DSAEK FAQ's

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Am I a suitable candidate for DSAEK?

DSAEK is typically recommended for patients with endothelial disorders such as Fuchs' dystrophy or bullous keratopathy. Our surgeons will assess your specific condition to determine if DSAEK is the best option for you.

How long does the DSAEK procedure take?

The surgery usually takes about 45-60 minutes and is typically performed under local anaesthesia.

What is the recovery process like after DSAEK?

Most patients can resume normal activities within 1-2 weeks, although vision may continue to improve for several months. You'll need to use eye drops and avoid rubbing your eye during the initial recovery period.

Who will my surgeon be?

OCL Vision has 6 consultant corneal transplant surgeons who have all been fellowship trained in transplant techniques and have specialised in this field.

Are scans included in the corneal consultation price?

Scans are not included in the initial consultation fee. The initial consultation is £360, and each scan costs £55. Up to 3 scans may be required, as confirmed by the consultant, bringing the total price to £360 + scans.

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*Representative example per eye based on 50% deposit over 60 months interest bearing. 9.8% APR Representative. We are a credit broker, not a lender. Credit provided by Mitsubishi HC Capital UK PLC, trading as Novuna. Subject to status and affordability. Minimum spend and deposit required. T&Cs apply.

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Book your consultation today and meet with our expert team at OCL Vision to discuss your eye health and explore the best treatment solutions for you.

Our team is dedicated to providing you with personalised care, your vision is our priority.

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We’re here to answer your questions, talk through the process, and arrange a consultation with our caring team when you’re ready.

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