Post DMEK/DSAEK Corneal Transplant Recovery
After DMEK (Descemet Membrane Endothelial Keratoplasty) / DSAEK (Descemet's Stripping Automated Endothelial Keratoplasty) surgery, you will typically be instructed to lie flat on your back, facing the ceiling for a significant period.

Why is this positioning important?
A small air bubble is left inside your eye during the surgery to help hold the donor tissue in place. Lying flat on your back allows gravity to help keep the air bubble in contact with the corneal transplant, which promotes adherence and stability.

Duration of face-up positioning
The duration of this positioning can vary depending on your surgeon's specific instructions, but generally, you will be advised to maintain this position.

Immediately after surgery You'll likely need to remain flat on your back, facing the ceiling for the first 24 hours.

Beyond the first day
Some sources suggest continuing this for 24-36 hours or even 4-5 days, or until the air bubble resolves.

Following your first postoperative appointment
Your doctor may recommend alternating between reclining for 45 minutes and sitting upright for 15 minutes throughout the day.

Important Considerations
Minimize interruptions while you can take breaks for essential activities like using the restroom or eating.

It's crucial to minimize interruptions to the face-up position to ensure the best chances of successful graft attachment.

Avoid looking down Avoid bending below the waist or looking downwards for several weeks after surgery to prevent dislodging the air bubble and potentially disrupting the healing process.

Follow your doctor's instructions
Always adhere strictly to your surgeon's specific post-operative instructions for positioning and activities.

By carefully following these instructions, you significantly increase the likelihood of a successful DSAEK surgery outcome and optimal vision recovery.