Corneal transplant procedures may restore vision to eyes blinded by certain eye diseases or injuries. There are many conditions in which corneal transplantation may be considered. Frequent indications include:
- Fuch’s dystrophy.
- Persistant corneal edema that my follow some cataract surgeries (pseudophakic bullous keratopathy or PBK).
- Corneal ulceration or infections including herpes simplex.
- Corneal scars from previous infections or injuries.
- Advanced keratoconus. Note that for many keratoconus patients, INTACS for keratoconus may be a better option.
There are two main types of cornea transplants we perform.
PKP: First is the traditional full-thickness corneal transplant (known as Penetrating Keratoplasty or PKP).
DSEK & DALKP: The second is a partial thickness “lamellar” transplant, both posterior and anterior. For patients who have Fuch’s dystrophy or bullous keratopathy a partial thickness, posterior surface transplant – Descemet’s Stripping Endothelial Keratoplasty (DSEK) may be done. For patients with anterior scars from keratoconus or injuries, an anterior lamellar transplant – Deep Anterior Lamellar Keratoplasty (DALKP) might be best. Lamellar keratoplasties may require shorter recovery times and induce less irregular astigmatism.
We are also adept at managing existing corneal transplants, their evaluations and medications.