Book a Consultation

Treatments

Corneal Transplantation Surgery

The cornea is comprised of several layers. The outer layers of the cornea are typically affected by conditions such as Keratoconus or by trauma or infection. The innermost layer of the cornea is called the Endothelium. This is specifically affected by a genetic condition called Fuchs’ Dystrophy where acceleration of the natural process of loss of endothelial cells results in swelling of the cornea.

Traditionally, most corneal transplantation surgery has involved replacing a full thickness disc of the cornea for disc of cornea from a donor. This procedure is called Penetrating Keratoplasty or PK.

Today, it is considered preferable to replace only those layers (or lamellae) affected by the specific condition and to leave those layers unaffected in place, thus reducing the amount of tissue transplanted. This approach is called lamellar corneal surgery and leads to quicker recovery of vision, it is also thought that in the long term this will result in fewer transplants being rejected by the recipient and this data is increasingly supported by research and audit in this field.

Rakesh has been performing lamellar corneal surgery for approaching 10 years and has active research interests in corneal transplantation surgery including Ultra-Thin DSAEK in which he has contributed to the development of current surgical techniques including performing corneal transplantation without any sutures under topical anaestheia alone.

Book a Consultation
Corneal Transplantation Surgery

At a glance

Treatment

Frequently asked questions

DALK is a technique in which all of the corneal tissue in front of Descemet’s Membrane is replaced leaving the recipients natural endothelial cell layer intact. DALK is particularly useful when conditions which affect only the front of the cornea such as Keratoconus or conditions which cause scarring are present as by leaving the recipient’s natural endothelial cells in place, the risk of corneal transplant rejection are lowered. DALK was pioneered as a technique by Dr Gerrit Melles, a Dutch Ophthalmologist.

DSAEK is a procedure designed to replace corneal endothelial cells lost through either genetic decline in Fuchs’ Dystrophy or following certain forms of surgery i.e. Pseudophakic Bullous Keratopathy.In DSAEK a thin layer of cornea including the endothelial cell layer is injected into the eye through a small entry port 4.1mm in size using a device called an EndoSaver. The disc of tissue which typically measures a tenth of a millimeter (100 micrometers) in thickness comprises the endothelial cell layer, Descemet’s Membrane and a small amount of corneal substance or stroma. This thin lenticule, normally between 8-9mm in diameter is unfolded in the eye, then further stretched using air to attach it to the underside of the cornea.

Rakesh typically performs UT-DSAEK surgery using a sutureless technique under topical anaesthesia, with the surgical time often less than 15 minutes.

UT-DSAEK offers the advantages of more rapid visual rehabilitation than PK. It typically results in a far smaller change in spectacle prescription and has now become the new ‘Gold Standard’ for corneal transplantation for endothelial failure.

Rakesh has been performing DSAEK since 2008 and is considered to be an expert in this technique. He has published and presented work on DSAEK internationally and teaches this surgery to Ophthalmologists from around the world (see Research).

For patients in whom other methods of correction are not suitable, corneal transplant is an excellent option. This operation has been carried out for over 100 years, however in recent years this technique has been greatly improved.

The technique involves removing the misshapen corneal tissue and replacing it with healthy corneal tissue. It is a very successful technique with 90% of patients obtaining a great improvement in vision.

Price

From £ 7,500

Testimonials

What our patients say...

Treatments

Related Treatments

Treatment

Cataract Surgery

Cataract surgery is one of the oldest surgical procedures recorded

View Treatment
Cataract Surgery
Corneal Collagen Crosslinking

Treatment

Corneal Collagen Crosslinking

First performed in 1997, it is now being used by a number of ophthalmic surgeons in Europe

View Treatment

Treatment

LASEK

The LASEK procedure involves preserving the extremely thin epithelial layer

View Treatment
LASEK
Christine Ayling
Christine Ayling
30/01/2023
From the first consultation through to the final follow up appointment I cannot fault the whole experience. Rakesh Jayaswal put me at my ease, was friendly, professional & caring. I cannot recommend him highly enough.
David Debono
David Debono
11/01/2023
I cannot fault my experience with LaserVision. Results are amazing Care and support 10 out of 10 Cost…..definitely worth it, 100% Thanks to Rakesh and team for everything, I could not be happier.
Angela Corbett
Angela Corbett
14/12/2022
I received outstanding care and support throughout my treatment that went above and beyond my expectations in every aspect. All of my fears were allayed in a caring and sensitive way, that inspired my confidence to go ahead with the lens replacement surgery. The outcome is amazing. I am glasses free with excellent vision. I cannot thank Rakesh and his team enough. His kindness and skill has changed my life. I highly recommend Rakesh and his team at Laservision.
Mark Stradling
Mark Stradling
14/11/2022
Not only is Rakesh a very nice man, he is a master of his craft and has demonstrated a keen desire to ensure I am truly happy with my new eyes. Sometimes things dont go precisely to plan and it is at times like this some might create reasons to run away. Not Rakesh or anyone on the Laser Vision team. They are incredibly dedicated to customer service and my well being, ultimately ensuring that one of my most important senses, will be vastly improved from it's former blurred state and enable me to live a full colorful life, for the rest of my life.
Mark Bailey
Mark Bailey
12/11/2022
Friendly, professional service, really pleased with surgery result.
Keely Green
Keely Green
10/11/2022
Wonderful service from the 1st appointment. Caring staff and my options were explained to me thoroughly in great detail. The operation was painless and happened in no time at all. The staff on the day were attentive to all my needs. The after care was impeccable. Having lens replacement surgery was the best decision I could make. It has changed my life and being free of glasses is amazing. Rakesh and his team at Laservision have been so kind and so professional I can't recommend them enough.
Bernadette Grima
Bernadette Grima
10/10/2022
I've had cataracts and laser with Mr Rakesh Jayaswal this year. I was delighted with his help and re-assurance throughout both procedures and cannot recommend him and his team highly enough. Always with a friendly smile and very patient in answering all my queries. All the team, including Vicky and the admin ladies, were a joy to deal with. I highly recommend LaserVision and would certainly go back if I need any further treatment in the future.
John Robinson
John Robinson
11/10/2021
Very well looked after from the first consultation. Needn't have worried about the painless lens replacement surgery and now I have perfect long distance and short vision for the first time in over fifty years. A huge thanks to Rakesh and all of his team from a very satisfied patient.
Helen McDowall
Helen McDowall
11/09/2020
From first consultation, through surgery, to discharge- review, lens replacement surgery and aftercare has been seamless. I have always felt well cared- for and supported even throughout 2020 when Covid19 moved the goal posts! Rakesh and his team are ultimate professionals in their field and really believe in what they're doing. They are just lovely human- beings. This surgery liberated my life from contact lenses and glasses after 45 years. Thankyou ....
Newsletter Signup

Newsletter Signup

Let's keep in touch

  • This field is for validation purposes and should be left unchanged.

Let's Talk

Get in touch

Phone

0800 024 8888

rakesh.jayaswal@laservision.co.uk

Address

Prema Clinic
Compass Rd
Portsmouth
PO6 4RP

Get Directions