If you suffer from Fuchs' Dystrophy or another corneal condition, contact DLEK corneal transplant surgeon Steven Koenig in Milwaukee, Wisconsin to schedule a consultation.
Steven B. Koenig, M.D.
925 North 87th St.
Milwaukee, Wisconsin 53226
P / (414) 955-7902
F / 414-955-6300
Dr. Steven Koenig uses DSAEK (Descernetís Stripping and Automated Endothelial Keratoplasty) a form of small incision partial thickness corneal transplantation to treat many forms of corneal edema, including swelling due to Fuchsí corneal dystrophy as well as unresolved swelling after cataract surgery. Dr. Koenig has performed DSAEK for the past six years at the Medical College of Wisconsin since its introduction in the United States and has published extensively on this subject. He has treated patients from all over the United States suffering from a variety of corneal conditions including Fuchsí corneal endothelial dystrophy, pseudophakic bullous keratopathy, and ICE Syndrome.
Descemetís Stripping and Automated Endothelial Keratoplasty (DSAEK) is a relatively new surgical procedure that has been performed at the Eye Institute for the past six years. A conventional corneal transplant, in which the entire thickness of the patientís cornea is typically replaced with a similar donor corneal button, requires 16 sutures and a prolonged recovery time with many patients experiencing significant post-operative astigmatism after transplantation. In contrast, DSAEK or Descemetís Stripping Automated Endothelial Keratoplasty is typically performed through a tiny incision that is usually closed with a single suture. In the DSAEK, the diseased back layer of the patientís cornea is replaced with healthy new corneal endothelial cells attached to a thin layer of donor corneal tissue. Once the donor corneal tissue adheres to the back of the patientís cornea, it begins to remove excess water from the swollen cornea. The procedure leads to a rapid recovery of visual acuity with no associated astigmatism and very few of the problems associated with standard corneal transplantation. It represents the most significant advance in corneal transplantation in the last 100 years and has revolutionized our approach to managing patients with corneal edema from a variety of causes. Dr. Koenig is among a handful of corneal surgeons who helped pioneer these procedures early on. The result of his clinical studies on DSAEK for Fuchsí endothelial dystrophy performed at the Medical College of Wisconsin in Milwaukee have been published in Ophthalmology, the American Journal of Ophthalmology as well as the journal Cornea.
Fuchs' Dystrophy is a progressive corneal disorder characterized by gradual deterioration of the corneal endothelium. The endothelium is responsible for controlling fluid and solute transport into and out of the cornea in order to maintain the clean and slightly dehydrated state necessary for clear vision. In patients suffering from Fuchs' Dystrophy, the endothelium gradually loses its ability to regulate fluid and solute transport. As impurities build up in the cornea and hydration levels fluctuate, the cornea swells and vision becomes blurry. Occasionally blisters form on the endothelium, which can be very painful. With time, Fuchs' Dystrophy patients can become functionally blind. At this point, a corneal transplant is generally recommended.
Fuchs' Dystrophy affects women slightly more often than men. Early onset symptoms generally manifest between the ages of 30 and 40, but vision isn’t usually impaired until age 50 or 60. Individuals suffering from Fuchs' Dystrophy come from all over the country to see Dr. Koenig in Milwaukee, Wisconsin because he is a widely recognized authority on the condition and the latest treatment options.
Treating Fuchs' dystrophy with DLEK or DSAEK corneal transplant surgery is a new frontier in ophthalmology. Milwaukee, Wisconsin surgeon Steven Koenig, M.D., is a recognized expert on medical conditions affecting the cornea. To learn more or to schedule a consultation, please call (414) 955-7902.