
DMEK Surgery in Chandigarh
Looking for the Best DMEK Surgery in Chandigarh?
Get expert eye care at Grewal Eye Institute. Our experienced eye specialists use advanced diagnostic tools and surgical techniques to restore and protect your vision effectively.
- 30 Years in Eye Care
- 16 Eye Specialists
- 70000+ Patients Per Year
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Our Approach to Eye Care
We strive to provide care infused with positivity and empathy. Our approach involves active listening, quick resolution of errors, and an unwavering commitment to the well-being of our patients.
Working collaboratively, we deliver comprehensive eye care with integrity at its core. Ethical practices and collective accountability define our commitment to excellence in every aspect of our services.
Ensuring patient safety is our foremost commitment We adhere rigorously to the highest standards, creating an environment where patients feel secure and well-cared-for throughout their medical journey.
DMEK Surgery in Chandigarh
Grewal Eye Institute (GEI) in Chandigarh is known for excellence in corneal transplant procedures, offering the best DMEK surgery in Chandigarh using globally-approved protocols, advanced technology, and a team led by experienced and skilled cornea specialists.
What is DMEK Surgery?
DMEK/Descemet Membrane Endothelial Keratoplasty is a specialized partial-thickness corneal transplant surgical procedure involving the removal of only the innermost diseased or damaged endothelial corneal layers and their replacement with healthy donor endothelial corneas, eliminating the need of undergoing a full-thickness corneal transplant.
The cornea refers to the transparent, dome-shaped front layer of the eye. It helps protect the eye and is majorly responsible for the optical power of the eye. The cornea is made up of 5 major layers, known as the epithelium, Bowman layer, stroma, Descemet’s membrane, and endothelium.
DMEK corneal transplant is done when eye diseases or disorders affect only the posterior cornea (Descemet’s membrane and endothelium), but the 3 anterior cornea layers (epithelium, Bowman layer, and stroma) are intact and healthy.
How Does DMEK Surgery Work?
DMEK surgery works by replacing only the damaged endothelial layer, which is the innermost, cell-rich layer responsible for keeping the cornea clear. When these endothelial cells stop functioning due to disease, the cornea becomes waterlogged and cloudy.
DMEK restores vision clarity by transplanting a thin, healthy donor Descemet membrane with endothelial cells.
During the procedure, the surgeon first removes the patient’s diseased membrane through a tiny incision. A delicate donor graft, only 10 to 15 microns thin, is then inserted into the eye in a rolled or scrolled form.
Once inside, the surgeon carefully unfolds the graft using gentle fluid currents and positions it against the inner corneal surface. A small air or gas bubble is introduced beneath the graft, pressing it into place and helping it naturally adhere. Over the next few days, the transplanted endothelial cells begin pumping out excess fluid, reducing corneal swelling and gradually restoring transparency.
Because the transplanted layer is extremely thin and anatomically similar to natural tissue, patients experience clearer vision, quicker rehabilitation, and far fewer complications compared to traditional corneal transplant techniques.
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When is DMEK Surgery Recommended?
DMEK eye surgery is recommended for conditions that lead to endothelial cell loss or dysfunction. Our specialists at GEI will evaluate the patient thoroughly before determining if he or she is the right candidate for undergoing DMEK in Chandigarh under our expert care.
The procedure is generally recommended in the following cases:
- Fuchs’ endothelial corneal dystrophy: It is a progressive degeneration of the corneal endothelium causing fluid build-up in the cornea, leading to swelling and cloudiness of vision.
- Posterior polymorphous membrane dystrophy: It is a hereditary condition affecting the cornea’s posterior layer (endothelium/Descemet membrane), which may lead to endothelial dysfunction and corneal edema.
- Bullous keratopathy: It refers to chronic corneal swelling (edema), usually following cataract surgery or endothelial damage, sometimes with painful blister-like formations (bullae) on the cornea.
- Iridocorneal endothelial syndrome (ICE syndrome): It is a condition in which abnormal endothelial and iris cells lead to corneal endothelial failure and edema.
- Congenital hereditary endothelial dystrophy: It is a rare inherited disorder in which the corneal endothelium is dysfunctional from birth, leading to corneal clouding.
- Failed previous corneal transplant (graft failure): When a prior full-thickness or endothelial cornea transplant fails (endothelial decompensation), DMEK surgery may be used to restore corneal clarity.
Benefits of DMEK Surgery
There are many benefits of undergoing DMEK surgery, including the following:
- Minimally invasive procedure with tiny incision: DMEK surgery requires only a small incision in the cornea, which preserves the majority of the patient’s own corneal structure, reduces trauma, and accelerates healing.
- No sutures needed: The donor graft is held in place by natural intra-ocular pressure and an air (or gas) bubble rather than stitches, eliminating suture-related complications such as infections, discomfort, or post-operative astigmatism (blurred vision)
- Faster visual recovery and healing: Because only the thin innermost layers are replaced and the rest of the cornea is left intact during the procedure, most patients regain clear vision much more rapidly than with older, full-thickness corneal transplants.
- Lower risk of graft rejection and complications: Transplanting only the posterior layers reduces the amount of foreign tissue introduced, which lowers the risk of immune rejection and other serious complications compared with full-thickness corneal transplants.
- Preservation of corneal integrity and strength: Since the front (anterior) corneal layers remain unaffected, the natural curvature and structural strength of the cornea are maintained, which aids in better refractive stability, less astigmatism, and a more natural postoperative outcome.
- Quicker return to normal life and daily activities: With a minimally invasive approach, rapid recovery, and minimal complications, patients usually resume their regular routines sooner compared to traditional corneal transplantation methods.
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Procedure for DMEK Surgery at Grewal Eye Institute
At Grewal Eye Institute, we use a stepwise approach for effective DMEK procedure in Chandigarh. The steps involved in the procedure are:
Preparation
- Before the procedure, the patient undergoes a comprehensive eye evaluation that includes endothelial cell count, corneal imaging, and OCT scans to determine the extent of endothelial damage.
- The doctor reviews the patient’s medical history, explains the surgical steps, and provides instructions regarding medication adjustments, hygiene, and fasting (if required).
- The patient is guided on what to expect during and after the procedure, ensuring that he or she feels fully informed and prepared for surgery.
Surgical Process
- The surgeon uses numbing eye drops (topical anesthesia) to numb the eyes. Sometimes, the procedure is done under local anesthesia with mild sedation.
- The surgery begins with the eye surgeon creating a very small incision in the cornea to access the diseased endothelial layer.
- The damaged Descemet membrane is gently removed using microsurgical instruments to create space for the donor graft.
- A thin donor tissue layer, containing healthy endothelial cells, is prepared and inserted into the eye in a rolled or scrolled form through the tiny incision.
- Once inside the anterior chamber, the surgeon carefully unfolds and positions the graft against the inner surface of the cornea using gentle fluid movements.
- An air or gas bubble is introduced beneath the graft to help it adhere securely to the cornea, ensuring proper attachment during the initial healing period.
Post-Surgical Care and Recovery
- After surgery, the patient is advised to lie in a face-up position for several hours to keep the graft well-attached with the support of the air bubble.
- The doctor prescribes antibiotic and steroid eye drops, which must be used regularly to prevent infection and control inflammation.
- Follow-up appointments are scheduled to monitor the graft’s clarity, adhesion, and healing progress over the next few days and weeks.
- The patient is instructed to avoid rubbing of eyes, engaging in strenuous activities, or exposing the eyes to dusty environments until the graft stabilizes.
- Most patients notice significant improvement in vision within weeks of undergoing surgery as the cornea becomes clearer and the transplanted endothelial cells begin functioning effectively.
Risks of DMEK Surgery
Although DMEK surgery is considered very safe and predictable, like all surgeries, it carries certain risks, such as:
- Graft detachment or dislocation, needing an additional air bubble (rebubbling)
- Graft failure
- Slow healing
- Increased intraocular pressure
- Infection
- Postoperative inflammation and swelling
- Bleeding
At Grewal Eye Institute, the risks associated with DMEK eye surgery in Chandigarh are minimized through advanced microscopes, modern surgical tools, strict sterilization, and surgeon expertise.
Our Patient Stories
What Are Patients Saying?
With over 30 years of excellence in eye care and more than 10,000 surgeries performed annually, Grewal Eye Institute stands as a trusted name in advanced ophthalmic treatments. Our experienced specialists ensure expert care and consistently high-quality outcomes.
We were recommended to Grewal Eye Institute by a close friend during our visit to Punjab from Canada. Over the past four years, we had been searching for a reliable eye doctor for our 15-year-old son.
After meeting Dr. Sartaj and experiencing his treatment, we are grateful to say that he has significantly improved our son’s eyesight. It has been a tremendous blessing for our family.
Roohi Singh
5
Had a great experience at Grewal Eye Institute. I can’t thank Dr. SPS Grewal enough. He’s not just a skilled eye specialist but also a kind and patient person.
He made sure I was comfortable and understood every step of the process. I had visited Grewal Eye Institute for my SMILE laser surgery.
Neilkanth Sharma
5
I had serious eye issues and consulted many doctors for my problem across most of the cities in North India right from Jammu to New Delhi but couldn’t get the right treatment. A friend told me to visit Grewal Eye Institute at Chandigarh. I visited them as was advised. Dr. Mangat Ram Dogra carefully examined my eyes and provided me a detailed diagnosis. His treatment turned out a boon for me. I am so grateful to Dr. Dogra and Grewal Eye Institute, Chandigarh for lifting my morale and providing me a new hope to see better and with ease.
Sunita Bhat
5
Cost of DMEK Surgery in Chandigarh
- Donor tissue quality and source
- General health of the patient
- Cost of consultation
- Diagnostic evaluations required
- An eye surgeon’s expertise and skills
- Cost of additional procedures
- Technology and equipment used
- Cost of postoperative medications
- Cost of follow-up appointments
- Location and reputation of the treatment center
- Insurance coverage
At Grewal Eye Institute, pricing is transparent and patient-friendly while ensuring premium donor tissue and modern surgical facilities. Patients can contact the institute directly for exact package details and insurance guidance.
Why Choose Grewal Eye Institute for DMEK Surgery in Chandigarh?
Grewal Eye Institute should be your top choice for undergoing DMEK eye surgery due to the following key reasons:
- 30+ years of expertise in various eye care procedures
- Over 70,000 patients treated in a year
- Over 10,000 surgical procedures done every year
- More than 16 eye doctors across different specialties
- NABH and JCI (recognized national bodies) accreditation, ensuring globally-approved hygiene and safety protocols
- Latest infrastructure
- Advanced technology and equipment
- Personalized treatment approach
- Patient-centered care
- Comprehensive eye care procedures and treatments under one roof
- High rates of success
- Exceptional online ratings and reviews
- Transparent, ethical, and honest treatment approach
- Reasonable pricing
Book a consultation appointment with GEI to undergo the top DMEK surgery in Chandigarh for improved vision and an improved quality of life now!
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Meet Grewal Eye Experts
Comprehensive eye care under one roof, offering medical, surgical, and laser-based treatments for a wide range of eye conditions.
Dr. Mansi Sharma
Vitreo Retina Specialist
Dr. Aditi M Grewal
Oculoplasty & Facial Aesthetics Surgeon
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Frequently Asked Questions
The DMEK procedure usually takes 30 to 60 minutes, depending on the complexity of the case and the donor tissue preparation. Although the surgery itself is relatively quick, the patient should expect to spend a few hours at the hospital for pre-operative preparation, the procedure, and immediate post-operative monitoring.
Most patients do not experience pain because DMEK surgery is performed under topical anesthesia or local anesthesia with mild sedation. After the procedure, some patients may feel mild irritation, foreign-body sensation, or temporary light sensitivity. These symptoms usually improve within a few days with prescribed medications and protective care.
DMEK surgery has one of the highest success rates among corneal transplant techniques, with excellent graft survival and very low rejection rates. According to certain studies, patients undergoing DMEK corneal transplant surgery have a success rate of about 90% at 5 years, and most patients achieve corrected 20/20 visual acuity within one year of undergoing the surgery.
Although both DMEK and DSAEK (Descemet Stripping Automated Endothelial Keratoplasty) are partial-thickness corneal transplants, DMEK transplants only the donor Descemet membrane and endothelial cells, resulting in faster recovery and sharper visual outcomes, while DSAEK surgery uses a slightly thicker donor tissue layer, making the procedure easier but offering slower visual improvement. The choice depends on the corneal condition and patient-specific factors.
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