Penetrating Keratoplasty

Penetrating keratoplasty replaces the full-thickness cornea with donor tissue to restore vision in cases of scarring, keratoconus, or severe corneal disease.

Penetrating keratoplasty is a procedure where the entire damaged or diseased cornea is replaced with a healthy donor tissue.  Donor corneas come from organ donors and are harvested and distributed by a network of eye banks after meticulous screening for many diseases, including Hepatitis and HIV.

 

Who is Penetrating Keratoplasty for?
This procedure is ideal for patients with conditions such as keratoconus, corneal scarring, or other advanced corneal diseases that impair vision and cannot be corrected with glasses or contacts. It is recommended for individuals whose corneal damage impacts daily activities and overall quality of life.

What to Expect
Dr. Manusis conducts an in-depth consultation to determine the most suitable type of transplant (total or partial thickness) based on the patient’s unique condition. The surgery itself is usually done under local anesthesia.  The donor cornea is held in place using sutures (typically 16-24).  These sutures are sequentially removed in the office throughout the healing process. Recovery includes frequent follow-up visits, and visual rehabilitation can take up to one year, often requiring glasses for best results.  Dr. Manusis guides post-surgical care to ensure the best results.

Sings of rejection include redness, light sensitivity, pain, and blurry vision.  This is considered an emergency and should be rapidly treated.

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