comparative vision outcomes of keratoplasty

Have vision outcomes for DSEK/DSAEK improved to the point where the vision outcome is equivalent to corneal replacement?
I was diagnosed with Fuchs Dystrophy several years ago, but have postponed surgery as my BCVA has remained at 20/40, however, light sensitivity, pain, and crusty discharge have increased and people are distracted by the faces I make when trying to see or relieve my almost constant discomfort.  DSEK/DSAEK surgery rather than cornea replacement seem like better choices for me for a variety of reason but, when diagnosed, I was told the vision outcome is not as good as full cornea replacement.

[Sandy Feldman, MD, MS]

Dear blazefinn,

The outcome can be quite good following DSEK/DSAEK even if it not exactly the same as it would be following a  corneal transplant, full thickness.  The time of visual recovery is much faster which makes the recovery process easier for patients.  I would discuss with your corneal specialist the best options for you depend upon your symptoms and the appearance of your eyes.

Dr. Feldman

Sandy T. Feldman, M.D., M.S.
ClearView Eye and Laser Medical Center
San Diego, California