Cornea transplant

What is Cornea transplant?

Corneal transplantation, also known as corneal grafting, is a surgical procedure where a damaged or diseased cornea is replaced by donated corneal tissue (the graft). When the entire corneal is replace it is known as penetrating keratoplasty and when only part of the cornea is replaced it is known as lamellar keratoplasty. Keratoplasty simply means surgery to the cornea. The graft is taken from a recently dead individual with no known diseases or other factors that may affect the chance of survival of the donated tissue or the health of the recipient.

The cornea is the transparent front part of the eye that covers the iris, pupil and anterior chamber. The surgical procedure is performed by ophthalmologists, physicians who specialize in eyes, and is often done on an outpatient basis. Donors can be of any age, as is shown in the case of Janis Babson, who donated her eyes at age 10. The corneal transplantation is performed when medicines, keratoconus conservative surgery and cross-linking cannot heal the cornea anymore.

Questions and answers on "Cornea transplant"

Hi i am 15 years old and i have a eye injury and its being well tooken care of my vision has improved alot but my cornea was damaged and alot of other thingd but it didnt hit anything major but my eye doctor is talking bout me having a cornea transplant any advice bout what i should be looking foward to?

doctor1 MD

If only damage of cornea, then corneal transplant is the only answer. have to arrange for a doner if it is immediate donation and transplant then success rate is moredoner should not have diabetes cornea is to be taken from accidental death healthy cornea

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I was at my pharmacy yesterday to get a refill of fluorometholone which I use to prevent rejection of a cornea transplant. I was told by the pharmacy that this drug is difficult to obtain because it is not being produced anymore. I went online to see if I could find any more information on that issue. I found nothing. What is happening with this drug?

doctor1 MD

Hello,

A similar drug is Endrisone topical ophthalmic preparation. Consult your Ophthalmologist.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Tushar Kanti Biswas, Internal Medicine Specialist

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Hi, My left eye is quite itchy n prickly from yesterday. No other symptoms. I used artificial tears(drops) but it didn't help me much.
P.S cornea transplant done in same eye back in 1999. I got my eyes checked by doctor on Saturday and he said its healthy cornea.

doctor1 MD

It may be allergy, so you may use cromal eye drop. can take levocetrizine tablet 5mg once daily.It will take 4to 5 days for complete relief

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I have herpes simplex keratitis in my right eye which I have had for 18 months. I am treating it with a steroid drop twice a day but my cornea is damaged and the sight is affected. The drops do not seem to be helping. What can I do?

doctor1 MD

Brief answer...cornea transplant seems to be the answer,if the vision is very bad.
Detailed answer..
Hello,
Thanks for the query.
I really feel bad that you are suffering from this problem for past 18 months.
Very frankly speaking,herpes simplex keratitis normally resolves in 3-4 weeks after...

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My aunt (in India) had undergone cataract surgery on her right eye 6 months back, but her vision didnt improve even after 4 months. Last month the doc advised her a minor surgery that can improve her vision. But that didnt yield positive results too. After monthly review, the doctor is advising cornea transplant. He did say that there is some chance of rejections as well. So not sure how to proceed with this.Need some details of cornea transplant and the associated risks. And how to ensure the best care for cornea transplant?

Thank you.

doctor1 MD

Brief Answer:
Partial thickness grafts are better and give good results.

Detailed Answer:
Hello
Welcome to Health care Magic

I am Dr. Dadapeer K, an ophthalmologist and I will be answering your question.

I reviewed your history.

Corneal transplantation is transplanting cornea donated from dead...

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Age 77 years gender male my father is an acute diabetic patient and has been suffering gradual loss of eye sight , he has undergone cornea transplant recently , however this has not given any positive results. he under went a VEP test and results are VEP is not recordable bilaterally We got a BScan done for the right eye alongwith the above test and the results are Name : D C Chaturvedi Age : Sex: Male No : Date : 22 Jan 2011 Referred by : B SCAN – RIGHT EYE Report : The right eye was scanned using high frequency 12 MHz linear transducer. Right eye is normal in size and shape Anterior chamber is normal Lens is not identified - h/o cataract surgery Iris is thickened Posterior chamber shows isoechoic contents with multiple septae consistent with vitreous haemorrhage Optic nerve and optic head is normal. No choroidal or retinal detachments noted. His left eye is non functional for the past several years which had a infection and had to be removed after a cataract surgery. The doctor has suggested use of intrvitreal avastin followed by VR sx-ppv + endolaser +/- delamination +/- silicon oil under gvp. can we go ahead and will it have any complications Sanjay.c@brakesindia.co.in

doctor1 MD

welcome to healthcaremagic portal
these modalities are to be followed,in spite of the fact that visual outcome is most likely to be compromised because of effects of diabetese on the retina.If these procedures are not done then there is very little vision at the moment

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I have Keratoconus in both eyes. My left eye was corrected in 1987 via a cornea transplant. Over the last year, I developed Hypertensive Retinopathy due to high blood pressure. My left eye was permanently damaged. Doctors do not want to do a corneal transplant in my right eye due to the damage done through hypertensive retinopathy damage done in my left. I am 57 years old and am attempting to get SSID benefits. THey fitted me with a combination soft/jhard lense in my right which helpf but is more of a band aid than a cure.

doctor1 MD

Thanks for posting the question here. It is really useful for the public. For your knowledge , the reason for diabetes is famial most of the times.so if u have diabeti father or mother or brother u have a chance to get diabetes. In additin to that familial inheritance if ur eating excessive...

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I had severe trauma to my eye in 1969. I am now 56 years old. I have no vision in my eye. I have had a cataract and now have glaucoma. Up until about 5 years ago, my eye had no real problems with pain. Then all of a sudden I had excruciating pain where my eye doctor at Kaiser said my own cornea was failing. I eventually had a cornea transplant 4 years ago and now that is failing. My doctor says it is highly likely that if I had another cornea transplant that it would fail too. Now my eye is getting worse with the pain and sensitivity too light is unbearable. My quality of life is going down the tubes. My doctor has not given me any solutions, only antibiotics and other meds. I can't keep doing this, I need a solution. I have to keep asking my doctor questions and he gives me no advice on what to do. It was me that asked him about the Gundersen Flap and he said it would stop the pain, but it was wouldn't look good cosmetically. That's all he said. I feel that he doesn't have the expertise to help me anymore. I asked if Kaiser has had done the Gundersen Flap procedure and he said a few times. My eye doctor is not a cornea specialist and I think he is not real familiar with this procedure because he doesn't give me advise or any more info on this procedure. I had to ask him how to spell this procedure so i could look it up more on the computer. I need help. I have pain most of the time and I can't live like this anymore. I sometimes need someone to drive me to work because my sensitivity to light is unbearable and my eye tears pour down my face most of the time. I need advise...

doctor1 MD

Gunderson's conjunctival flap:
Your dr. is right it would relieve your pain but would be not good cosmetically. But looking at the intensity of your pain I would believe cosmesis is not your priority...pain is! So a conjunctival flap covering your uneven cornea is not a bad idea.
because you have...

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I HAD KNEE REPLACEMENT LAST FEBRUARY, 2014. I WAS GIVEN CINDAMYCIN TO TAKE ONE HOUR
BEFORE I SAW A DENTIST. I DID THIS. HOWEVER, THIS WEEK I HAD CATARACT SURGERY AND A
PARTIAL CORNEA TRANSPLANT. I FORGOT TO TAKE THE CINDAMYCIN BEFORE SURGERY.
I WAS TOLD AN INVASIVE PROCEDURE COULD CAUSE INFECTION TO SPREAD TO MY KNEE.
I AM ON EYE DROPS CONSISTING OF PREDNISONE, VIAGAMOX AND NAVESN.

doctor1 MD

Brief Answer:
Procedure following Knee replacement

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
The benefit of antibiotic prophylaxis as systemic antibiotic administration prior to many bacteremia-inducing procedures is minimal.
Vigamox (moxifloxacin) is an...

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I am a 71 year old male. I underwent a right cornea transplant about 3 months ago due to Fuchs Dystrophy. All was going well in my recovery until yesterday when I suddenly and for no apparent reason began having double vision. It is bad enough that I cannot drive. There is blurring in addition to the double vision. My vision is better when covering one eye or the other. Using both eyes simultaneously is when the double vision kicks in. Coincidentally, I had an appointment with my cornea surgeon this morning. He said my transplant looks great but is concerned about the double vision. Will be referring me to a neuro ophthalmologist. I was too surprised to ask the reason for the referral or what he may suspect. He indicated the need for some urgency, and said his office will make arrangements. It is now about 10:00 pm XXXXXXX time and I have heard nothing. Please provide me with some information including the possibilities and their seriousness. How urgent is it that I see the neuro ophthalmologist? What should I be doing in the meantime? Could this be a serious problem? What specific questions should I be prepared to ask the neuro ophthalmologist?

doctor1 MD

Brief Answer:
Monitor the progress as you wait for doctor.

Detailed Answer:
You have underwent corneal transplantation 3 months back. Apparently you were doing well until now when you developed blurring vision and double vision. I am glad you have no other symptoms such as redness and pain. In...

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Recent questions on  Cornea transplant

doctor1 MD

I was at my pharmacy yesterday to get a refill of fluorometholone which I use to prevent rejection of a cornea transplant. I was told by the pharmacy that this drug is difficult to obtain because it is not being produced anymore. I went online to see if I could find any more information on that issue. I found nothing. What is happening with this drug?

doctor1 MD

My aunt (in India) had undergone cataract surgery on her right eye 6 months back, but her vision didnt improve even after 4 months. Last month the doc advised her a minor surgery that can improve her vision. But that didnt yield positive results...

doctor1 MD

I HAD KNEE REPLACEMENT LAST FEBRUARY, 2014. I WAS GIVEN CINDAMYCIN TO TAKE ONE HOUR BEFORE I SAW A DENTIST . I DID THIS. HOWEVER, THIS WEEK I HAD CATARACT SURGERY AND A PARTIAL CORNEA TRANSPLANT . I FORGOT TO TAKE THE CINDAMYCIN BEFORE SURGERY. I...

doctor1 MD

Hi i am 15 years old and i have a eye injury and its being well tooken care of my vision has improved alot but my cornea was damaged and alot of other thingd but it didnt hit anything major but my eye doctor is talking bout me having a cornea transplant any advice bout what i should be looking foward to?

doctor1 MD

I am a 71 year old male. I underwent a right cornea transplant about 3 months ago due to Fuchs Dystrophy . All was going well in my recovery until yesterday when I suddenly and for no apparent reason began having double vision . It is bad enough...

doctor1 MD

Hi, My left eye is quite itchy n prickly from yesterday. No other symptoms. I used artificial tears(drops) but it didn t help me much. P.S cornea transplant done in same eye back in 1999. I got my eyes checked by doctor on Saturday and he said its healthy cornea.

doctor1 MD

I have Keratoconus in both eyes. My left eye was corrected in 1987 via a cornea transplant. Over the last year, I developed Hypertensive Retinopathy due to high blood pressure. My left eye was permanently damaged. Doctors do not want to do a corneal transplant in my right eye due to the damage done through hypertensive retinopathy damage done in my left. I am 57 years old and am attempting to get SSID benefits. THey fitted me with a combination soft/jhard lense in my right which helpf but is more of a band aid than a cure.

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Dr. Andrew Rynne
MD

Hi, I am Dr. Andrew Rynne (Family Physician). I will be guiding you through the process. Please write your question below.

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