Pure Membrane Isolation
Stripping away the interior cell lining down to extreme anatomical boundaries.
Corneal Transplant
Cornea Services
Descemet Membrane Endothelial Keratoplasty (DMEK)
Advanced keyhole DMEK at Neera Eye Centre, Delhi — replace only the 10–15 micron endothelial sheet for pristine visual clarity.
10–15 µm
Ultra-thin pure graft
2.4 mm
Micro side-port delivery
Lowest
Rejection among grafts
~48 hrs
Face-up positioning
Service Overview
For optimal visual recovery after inner cell damage, the thinnest possible tissue replacement delivers the most pristine results. Descemet Membrane Endothelial Keratoplasty is the most advanced keyhole transplant method available, replacing only the single-cell inner layer and its microscopic base membrane. Our surgical teams isolate this pure, tissue-free layer down to a mere 10 to 15 microns. By removing all extra stromal tissue, this method preserves your natural optical structure and delivers unmatched visual outcomes.
What It Covers
Ultra-Thin Splicing
Utilizing donor tissue composed purely of Descemet's membrane and its endothelial cells.
Micro-Cannula Injection
Delivering the microscopic scrolled tissue graft through a tiny 2.4mm side-port tunnel.
Intraocular Unrolling Steps
Using sophisticated external fluid tapping techniques to unroll the delicate graft inside the eye.
Optimal Optical Restoration
Maximizing post-op visual acuity by avoiding any tissue thickness discrepancies.
Who It Is For
Early to Late Fuchs Patients
Individuals seeking the highest probability of returning to perfect 20/20 vision after endothelial loss.
Post-Cataract Bullous Keratopathy
Patients requiring rapid clearing of corneal swelling without changes to their refractive profile.
High Visual Demand Profiles
Active individuals who want a fast recovery and minimal post-operative astigmatism.
How It Works
Unwanted Sheet Removal
The surgeon gently lifts and removes the microscopic diseased inner sheet from the interior chamber.
Scroll Delivery
The donor membrane naturally scrolls up inside an injector tool, which slides it through a tiny side incision.
Fluid Manipulation
Precise, non-contact fluid taps on the outer cornea unroll the scroll inside, and a gas bubble locks it upward.
Why Choose Us
Our eye surgeons are among a select group globally certified in advanced micro-separation DMEK mechanics. We track intraoperative step metrics using ultra-high-resolution real-time monitoring tools to ensure safe graft deployment. Our refined surgical approaches significantly reduce tissue drop risks, providing exceptional visual outcomes for our patients.
Frequently Asked Questions
What separates DMEK outcomes from older DSEK techniques?
DMEK uses a much thinner graft with zero extra tissue, resulting in faster visual recovery and a higher probability of achieving perfect vision.
Is the risk of tissue rejection lower with this advanced method?
Yes, clinical data shows that this method has the lowest rejection rate of all corneal transplant options available.
How long must I stay flat on my back after a DMEK session?
Patients must maintain a strict flat, face-up position for roughly 48 hours to ensure the gas bubble holds the ultra-thin sheet in place.
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