May 2, 2013 in Features, Health

Doctor K: Corneal transplants have high success rate

Anthony L. Komaroff Universal Uclick
 

DEAR DOCTOR K: I’m scheduled to have a corneal transplant. What can I expect during this procedure?

DEAR READER: The cornea is the clear, round “window” that allows light to enter the front of the eye. If the cornea becomes severely diseased or damaged, it can cause a significant loss of vision. A corneal transplant often is the best solution.

The eye surgeon will measure your eye to determine the size of the cornea that is needed. Before the surgery is started, the surgeon will cut the donor cornea to the right size.

Corneal transplants are usually done as an outpatient procedure. You will get a sedative and local anesthesia. You’ll be awake but drowsy; you’ll feel tugging on your eye but will feel no pain. The surgical team will use special techniques to keep your eyes open so you don’t have to worry about blinking.

The surgeon will cut out a circular “button” of tissue containing the diseased or damaged part of your cornea. Then the donor cornea will be stitched into place using fine nylon sutures (surgical threads). Afterward, your eye will be covered with a soft eye patch and hard eye shield.

Steroid eye drops will help prevent your body from rejecting the transplanted tissue. Rejection is the most common complication: The body’s immune system identifies the donor cornea as foreign and begins to attack it. In most cases, rejection can be treated successfully with medication.

You’ll continue to wear the eye patch for a few days. Sutures are usually left in place for several months, or they may be allowed to remain in the eye permanently. After the transplant, your vision should improve gradually over a period of months.

Even 60 years ago, people with damaged corneas could not always be saved from blindness. Today, the odds are very good that their vision can be restored.

Dr. Komaroff is a physician and professor at Harvard Medical School. To send questions, go to AskDoctorK.com, or write: Ask Doctor K, 10 Shattuck St., Second Floor, Boston, MA 02115.


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