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Treatments

CORNEAL TRANSPLANT

A corneal transplant may be required if the cornea, or part of the cornea has become damaged or dysfunctional.

This can cause changes to the vision, and sometimes eye pain and recurring infections. A detailed clinical assessment will establish how much of the cornea is affected, which will in turn determine the most appropriate surgical treatment. 

Traditionally corneal transplant, also known as keratoplasty, involved the removal of a full thickness portion of the cornea (penetrating keratoplasty or PK). Newer techniques have allowed only the affected layers to be removed: a) DALK or Deep Anterior Lamellar Keratoplasty – epithelium and stroma removed / replaced leaving only the innermost layer (endothelium); b) DSAEK (Descemet Stripping Automated Endothelial Keratoplasty) or DMEK (Descemet Membrane Endothelial keratoplasty) – where only the innermost layer of the cornea (endothelium) is removed and replaced with donor endothelial tissue.

The femtosecond laser can be used to perform a corneal transplant. It allows very accurate and precise cutting and preparation of both the patients’ eye and the donor cornea which results in a much more accurate fit and reduced astigmatism. 

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CORNEAL TRANSPLANT

At a glance

Treatment

Frequently asked questions

Assessed and advised in clinic

Corneal transplant is a very safe procedure with most patients obtaining a significant improvement in vision. The risk of graft rejection varies depending on the transplant procedure performed and is significantly affected by certain ocular comorbidities. This will be discussed in detail during your clinic consultation.

 

The surgery may be performed under local or general anaethesia. The procedure is painless but there may be some mild discomfort in the first few days following surgery.

Your vision will gradually become clearer in the fews weeks that follow the procedure. However, you may need to allow 12 – 18 months for the final visual result. 

Most patients recover well with only mild side effects. There are risks associated with any type of surgery, and these will be discussed in detail during your consultation. 

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