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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will I Be Able To Study Medicine With Vision Problem And How It Is To Be Treated ?

Hi First of all , I will describe my situation . My right eye needs a corneal transplantation surgery and my left eye has very low vision . The doctor told me that , I can not do the surgery , because my right eye has a big blood vessel , so the body will reject the new corneal . My questions , 1- Is better to do to the surgery or leave the eye as it is ?? 2- As you can see , that I have very bad vision , so will I be able to study medicine or it will be difficult for me ?? please tell me the truth because it will determine my future Thanks a lot
Tue, 3 Apr 2012
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Ophthalmologist,  's  Response
Assuming that you have had no prior transplant, the first question I would ask is why you have blood vessels growing into your cornea. BV's are an indication of prior or ongoing inflammation so any condition leading to corneal inflammation needs to resolved otherwise the transpant should not be performed

That said a blood vessel at the transplant / host junction will lead to localized rejection. Efforts should be made to eliminate the blood vessel if possible -- but these are virtually impossible to eliminate completely and are only amenable to treatment if the blood vessels are on the surface. Once vessels get into the graft they will invade it completely.

Sounds like a difficult case which may be better left untreated.
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Ophthalmologist,  Dr. Arun Chaudhari's  Response
I would like to know your age
If you are young and ready to underfgo multiple surgeries, The vascularisation part can be treated first by series of 2-3 surgeries.
Once that is taken car you can go ahead with Corneal transplant.There is always Hope of treatment, but one also has to be practical.
If there are lot of other problems as well which are difficult to treart, your Dr may be correct in asking youy to leave the eye as it is
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Will I Be Able To Study Medicine With Vision Problem And How It Is To Be Treated ?

Assuming that you have had no prior transplant, the first question I would ask is why you have blood vessels growing into your cornea. BV s are an indication of prior or ongoing inflammation so any condition leading to corneal inflammation needs to resolved otherwise the transpant should not be performed That said a blood vessel at the transplant / host junction will lead to localized rejection. Efforts should be made to eliminate the blood vessel if possible -- but these are virtually impossible to eliminate completely and are only amenable to treatment if the blood vessels are on the surface. Once vessels get into the graft they will invade it completely. Sounds like a difficult case which may be better left untreated.