Partial Thickness Transplant

DSAEK Corneal Transplant in New York

DSAEK is short for Descemet’s membrane automated endothelial keratoplasty. In the normal eye, a layer of cells known as the endothelium lines the inner surface of the cornea on a membrane called Descemet’s membrane. These cells act as tiny pumps that precisely regulate the amount of fluid in the cornea to maintain its clarity.

Medical conditions such as Fuchs’ corneal dystrophy, cataract surgery and glaucoma can lead to a decreased number of these cells. This may result in swelling and clouding of the cornea, causing decreased vision and sometimes episodes of severe pain. Advances in surgical techniques have allowed us to remove only the diseased layer of the cornea and replace it with a thin layer of donor tissue containing healthy endothelial cells. We inject an air bubble to hold this graft in position for the first few days until the pumping new cells create enough suction to hold the graft in place unassisted. The patient needs to lie flat on his/her back for several days so that the air bubble in the eye pushes the donor corneal tissue against the back layer of the patient’s cornea.

Like a standard, full-thickness corneal transplant, this procedure is done on an outpatient basis. Visual recovery is more rapid after DSAEK, with stabilization of vision often occurring within three to four months after surgery. After DSAEK, vision remains more stable than it does with full-thickness corneal transplant. There is also a lower lifetime risk of graft rejection than in full-thickness transplantation.

Discover experienced eye surgery by calling 212-650-0400 or using our convenient Request an Appointment form. Patients come to us from Scarsdale, Chappaqua and Manhattan, New York, Newark, New Jersey, Greenwich, Connecticut and surrounding areas.

Surgical Services

  • Cataract

    A cataract forms when the naturally clear lens of the eye becomes cloudy.

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  • Laser Vision Correction

    Did you know? You can have LASIK for nearsightedness, farsightedness,...

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  • Corneal Transplant

    The cornea is the transparent front wall of the eye. A variety of conditions...

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    DSAEK is short for Descemet's stripping automated endothelial keratoplasty...

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  • DMEK

    DMEK is short for Descemet's membrane endothelial keratoplasty. This procedure is...

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  • Collagen Cross-Linking

    When the cornea becomes weakened by keratoconus, another corneal disease or...

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  • Pterygium

    A pterygium is a wing-shaped growth on the eye’s conjunctiva that extends...

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  • Ocular Surface Reconstruction

    Unlike your body’s surface skin coverage, the ocular surface of your eyes is...

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Medical Services

  • Dry Eyes

    Dry eye is a catch-all term referring to ocular surface disease. With ocular...

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  • Blepharitis

    Blepharitis, or meibomian gland dysfunction, may cause irritation of...

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  • Diabetic Eyes

    Diabetic eye disease is actually a group of conditions that affect people...

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  • Macular Degeneration

    Macular degeneration, also called age-related macular degeneration (ARMD)...

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  • Diagnostic Tools

    Eastside Eye Surgeons uses leading-edge technology for the evaluation and...

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  • Vision Disorders

    From amblyopia (lazy eye) to uveitis (inflammation of the middle eye), there...

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  • Eye Exams

    Drs. Sid Mandelbaum perform comprehensive eye examinations.

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Sid Mandelbaum, MD, FACS

Dr. Sid Mandelbaum has been in practice in New York since 1986. After completing his undergraduate work at Columbia University, he went on to receive his medical degree...

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Michael Borodkin, MD

Dr. Michael J. Borodkin is a summa cum laude and Phi Beta Kappa graduate of the University of Pennsylvania. He received his medical degree from Yale University School of Medicine...

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Alexandra Herzlich, MD

Dr. Herzlich specializes in medical and surgical treatment of corneal diseases and laser refractive surgery. A New York City native, Dr. Herzlich attended Georgetown University...

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