DWEK or DSO

DWEK or DSO is a type of Corneal graft.

Well in a recent post we talked about DSEK and DMEK. These are alternatives to full thickness penetrating corneal grafts. They also may be called sutureless corneal graft.

Now one of the surgeons whose DMEK graft fell off discovered the cornea still healed. The realization dawned that removing just the diseased endothelium may all that is required in certain patients. This procedure is called DWEK or DSO. DWEK stands for Descemets  stripping without Endothelial Keratoplasty. A more apt name may be DSO Descemets stripping only.

This is shown to work in few selected individual. The best candidate might be an older person with just central dense Fuchs guttate. Central 4 mm of endothelium is removed. The adjoining healthy cells migrate and take over the function of the unhealthy cells. The cornea clears and vision improves. This process can take 3-4 months.

DMEK clears up the cornea faster and is preferred in younger individuals. DSEK is the original procedure which involved removing of the unfit inner corneal cells. Actually all these surgical interventions are a continuum of inner corneal transplants. The difference being how much of the diseased cornea is removed. And whether a transplant is performed. If performed than the thickness  may vary.

If you need a corneal transplant or are suffering from disease of Cornea Please contact Dr. Khanna in Beverly Hills. he is a trained Cornea expert. At his AAAHC certified surgery center adjacent to his office cornea transplants and grafts are performed.

Written by Rajesh Khanna, MD

Los Angeles Lasik Surgeon Rajesh Khanna MD is a recognized pioneer in Presbyopic Implants for correction of aging eyes. He has popularized Cornea Cross Linking and Intacs forKeratoconus. He is an Expert Cataract, Pterygium Eye Surgeon, A Cornea Specialist he performs Laser Corneal Transplants, DMEK, DSEK and DALK. Rajesh Khanna MD is a well known medical writer. He has published the bestseller "The miracle of Pi in Eye".He is also a columnist for the newspaper Acorn. Dr.Khanna also hosts "Medical Magic". In his spare time he hikes with his family and German Shepard or does yoga. He also plays field hockey and loves swimming.