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| Deep Lamellar Endothelial Keratoplasty (DLEK) ie Endothelial transplantation surgery |
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| DLEK refers to a new method of advanced corneal surgery, wherein the dysfunctional endothelial layer of the cornea is selectively replaced with healthy donor tissue, without the need for surface incisions or sutures. This results in better refractive outcome compared to conventional corneal grafts. Moreover there is no risk of suture related complications such as infections, vascularization etc. Tectonically the cornea is much stronger following DLEK as compared to conventional full thickness corneal grafts. |
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| Conventional corneal grafting procedure requires full thickness excision of the host cornea, followed by replacement of corneal tissue from donor cornea. This corneal tissue needs to be secured in position with multiple sutures. |
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| Dehiscence of the graft host junction following trauma |
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| Conventional full thickness corneal transplantation surgery |
Corneal infection resulting from loose or broken sutures |
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| DLEK Surgical steps Click here |
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| Deep Lamellar Endothelial Keratoplasty (DLEK) ie Endothelial transplantation surgery |
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| Patients who have undergone DLEK / DSEK procedure to restore corneal clarity and function |
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| Corneal clarity restored with DLEK surgery |
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| Hazy cornea due to endothelial damage |
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| Deep Lamellar Endothelial Keratoplasty (DLEK) ie Endothelial transplantation surgery |
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| Sister Michaelina (Chennai) DSEK done in left eye, now enjoys 6/12 (20/40) unaided vision |
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| Mr Rajat Kanti Mukherjee, 66 year old gentleman had Fuch's endothelial dystrophy, a condition wherein the inner layer of the cornea stops functioning. Due to this the cornea becomes water-logged and loses its clarity. He also had cataracts in both eyes. His vision progressively got worse with time, and he decided to get operated. The left eye underwent a conventional full thickness graft, with cataract surgery and intraocular lens implantation. He was not happy with the procedure, as his unaided vision was still poor after the surgery. With thick glasses the vision improved, but he found it difficult to wear them for long hours. |
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After a duration of 10 months, his vision again got worse, and his doctor informed him that his graft had failed, and would need another surgery to restore its clarity. Mr Mukherjee, was very scared to go in for another surgery..... Note the hazy cornea due to failed graft in the left eye. |
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| Shyamala (Kolkata) DLEK done in right eye, now enjoys 6/6 (20/20) unaided vision |
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| As the vision in his right eye also got worse with time, Mr Mukherjee decided to undergo phacoemulsification with foldable intraocular lens implantation and DLEK procedure in the right eye. He was extremely pleased with the outcome of surgery, as his unaided vision was quite good. 6/12 (20/40) at 5 weeks post surgery. He had never experienced similar outcome following prior surgery in his left eye. His best corrected visual acuity was noted to be 6/9 (20/30) with glasses. Note - absence of stitches on the corneal surface, clear cornea. |
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Descemet's Stripping Endothelial Keratoplasty (DSEK) |
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| Suryanath (Jamshedpur) DSEK done in left eye, now enjoys 6/12 (20/40) unaided vision |
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| I am 77 years old. I lost vision of my left eye in 1996 and that of my right eye in 2005- both after cataract surgery with IOL implant. On a visit to India last winter,almost blind, I had the good fortune to get introduced to Dr. Rajesh Fogla who performed the DSEK surgery and removed the IOL implant in the right eye. Miraculously my vision was restored the very next day. The surgery involved no corneal cutting, sutures or bandages and no pain at all ! By God's Grace there were no post surgical complications. Within a month of this major surgery I could return to the US. My local doctor here at New Jersey expressed that such a highly specialised operation could be done with so much perfection in such a short notice in India ! This technique is still not in vogue in the US, the prohibitive cost apart ! With vision of one eye restored, I am able to indulge in the luxury of reading a lot, taking long walks every morning etc all by myself. My family and I are grateful to Dr.Fogla whose skill has given me my "second sight" and a new meaning to my twilight years. |
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| N.Ramanathan IRS(Retd), Edison,NJ, USA. (leela.ramanathan@gmail.com ) |
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| For more information on this specialized corneal surgical procedure call us or send us an email to schedule an appointment Dr Rajesh Fogla DNB, FRCS, MMed has been performing specialized lamellar corneal surgery since 1998. He was the first surgeon to introduce Deep lamellar endothelial keratoplasty procedure (DLEK) in India. He has published several papers in international journals on lamellar corneal surgery, and has delivered lectures on the same topic on numerous occasions both national and international symposiums. He has conducted instruction courses on lamellar corneal surgery also at international and national symposiums. Dr Fogla is available in the clinic on weekdays between 9am to 5pm, ( 6 - 8 pm with prior appointments only) You can reach him on +91 9866076750 or dr_fogla@yahoo.com |
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| Tel 91 40 23607777, Fax 91 40 23608050 ,24 hours emergency services call 1066 |


| Cornea Clinic - Eye Department - Apollo Hospitals, Jubilee Hills, Hyderabad 500 033, A P, INDIA |
| Cornea Clinic - toll free number 1600 345 1066, other numbers 91 40 23608333 / 23548888 / 23606655 |
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