To assess objective and subjective visual outcomes achieved by patients with corneal endothelial dysfunction who have undergone surgical treatment with Descemet stripping automated endothelial keratoplasty (DSAEK).

Since 2006, the technique by removing the Descemet membrane from the recipient cornea was renamed Descemet stripping automated endothelial keratoplasty (DSAEK). In recent years, DSAEK techniques have evolved, favoring increasingly thinner and finer grafts, known as ultrathin DSAEK (UT DSAEK), with the aim of obtaining better visual results.

Endothelial keratoplasty is now the most common surgical procedure used to treat endothelial dysfunction. The current study focused on assessing both objective and subjective visual quality outcomes following DSAEK.

Inclusion Criteria:

• Clinical eligibility for DSAEK
• Informed written consent
• Successful completion of DSAEK procedure
• Postoperative follow-up at least 1 year
• Ability to respond to the questionnaire

Exclusion Criteria:

• Patients with clinical edematous cornea
• With significant stromal opacity
• With major disturbances of ocular surface
• Previous corneal surgery

Patients with corneal endothelial dysfunction underwent DSAEK