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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replacement of corneal tissue from donor cornea. This corneal tissue needs to be secured in position with
multiple sutures.
junction following trauma
corneal transplantation surgery
loose or broken sutures
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undergone DLEK / DSEK
procedure to restore
corneal clarity and function
DSEK done in left eye,
now enjoys 6/12 (20/40)
unaided vision
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.
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.
DLEK done in right eye,
now enjoys 6/6 (20/20)
unaided vision
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.
DSEK done in left eye,
now enjoys 6/12 (20/40)
unaided vision
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.
Edison,NJ, USA.
(leela.ramanathan@gmail.com )
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
