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DSEK [Descemet’s Stripping Endothelial Keratoplasty] means that only the posterior part or the endothelium of the patient’s eye is changed. When the cornea becomes hazy due to the dysfunction of its porterior layer [endothelium] as in psedophakic bullous keratopathy [corneal blindness post cataract surgery] or in fuch’s endothelial dystrophy, then the patient is not able to see. In such cases, replacing the posterior part – endothelium gives the patient an almost perfect vision. The advantages of DSEK over traditional keratoplasty are that it is sutureless, so chances of astigmatism and rejection are much lower, and the unaided vision of the patient is near normal!