Corneal Transplant in India

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What is Corneal Transplant?

Cornea transplant, also known as corneal grafting, involves the replacement of a diseased cornea in a patient with a donated corneal graft or tissue.

The surgery can be conducted in its entirety through penetrating keratoplasty or partially through lamellar keratoplasty. In this process, a clear and healthy cornea replaces the diseased and opaque cornea, aiming to restore lost vision by allowing light rays to enter through the clear transplanted cornea.

What is the Cornea?

The cornea, an external, transparent covering of the eye housing the colored pupil and iris, plays a pivotal role in vision. When damaged, it can swell, impacting its smoothness and clarity. Comprising about two-thirds of the eye's refracting surface, the cornea is crucial for clear vision, functioning as a clear window. Diseases affecting the cornea result in a loss of transparency, diminishing vision quality. Impairments can arise from injuries, genetic conditions, infections, or malnutrition. Initial treatment often involves medications, but for individuals experiencing a significant loss, cornea transplant becomes a necessary intervention, especially when vision is compromised by approximately 70 percent in one or both eyes.

Types of Cornea Transplants

  • Penetrating (full thickness) Cornea Transplant : This type of transplant entails the transplantation of all layers of the cornea from the donor.

  • Lamellar Cornea Transplant : In this procedure, the surgeon selectively replaces only certain layers of the cornea with the transplant.

Lamellar transplants are considered the most suitable when the disease process is confined to a specific portion of the cornea.

Indications of a Corneal Transplant?

  • Vision cannot be corrected with eyeglasses or contact lenses.
  • In the case of swelling which cannot be healed by any medications.
  • Hereditary corneal failure, such as Fuchs’ Dystrophy.
  • A steep curving (Keratoconus) of the cornea.
  • Corneal failure after other eye surgery, such as cataract surgery.
  • Injury leading to scarring.

Procedure for Corneal Transplant

Hospitalization is not necessary for the cornea transplant procedure, as it is conducted under general anesthesia. Prior to using donor corneas for transplantation, a meticulous examination of the tissue is conducted. To manage persistent blinking and eye movement, an injection is administered into the patient's eyes. Additionally, surgeons may employ eye drops to numb the eye as needed.

Afterward, the surgeon scrutinizes the affected area to determine the necessary size of the donor tissue. The initial step involves extracting a similarly shaped button from the affected cornea of the patient, followed by the placement of a corresponding button from the donor tissue. Subsequently, the surgeon sutures this button into its designated position. Finally, a plastic shield is applied to safeguard the patient's eye from any rubbing or external contact.

Recovering From a Corneal Transplant

  • The total recovery time for a corneal transplant can be up to a year or longer.
  • For the first several weeks, heavy exercises and lifting are prohibited.
  • Stitches usually are removed after 3 to 17 months, depending on the health of the patient’s eye and the rate of healing.

Corneal Transplant Post Operative Recovery

  • Be careful not to rub or press your eye.
  • Try to avoid rubbing your eyes.
  • Try to avoid excessive and hard exercises.
  • Use the eye drops as prescribed.
  • Wear eye glasses for protection.
  • Before starting driving first confirm with your doctor.
  • Call doctor if you have any questions about home-care instructions.

Benefits of Corneal Transplant

  • It reduces the pain that is caused by disease or trauma.
  • A cornea transplant restores a person’s vision.

Success Rate of Cornea Transplant

The corneal transplant stands out as one of the most successful organ transplant surgeries. Its success rate is closely tied to the severity and type of eye injury. Notably, the success rate reaches an impressive 89% for cases of Keratoconus, 73% for Fuchs' Dystrophy, and ranges from 60% to 70% for corneal scarring.

Cost of a Corneal Transplant

India stands out as a frequently chosen destination for medical tourism, renowned for its advanced healthcare infrastructure equipped with cutting-edge technology and facilities. Consequently, the cost of corneal transplants in India is notably affordable compared to other countries, making it an attractive option for those seeking medical treatments.

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