Corneal transplantation is a revolution in ocular disease management. Being the most successful organ transplantation, it has the potential of giving vision to patients including young children who haven’t seen the world for years and are suffering from unnecessary blindness.
The patients of keratoplasty must know that the cornea being transplanted in their eyes is not their own and requires life-long care in the form of instillation of eye drop
Patients who are not suitable candidates for corneal transplantation or high risk for corneal graft rejection have an option of Keratoprosthesis. Keratoprosthesis is nothing but artificial cornea and Dr Rajat Jain is one of the few trained to perform this surgery in the country.
Note to our patients: Corneal transplantation is the most successful organ transplantation. Full or partial thickness transplantation surgery is chosen depending on the disease condition. But, corneal transplantation requires adequate supply of human corneas. We all should be motivated to donate our eyes and help someone see, even long after we are gone from this world.
The patients opting for Corneal Transplantation must know in detail about Graft Rejection. All of us have heard about liver and kidney transplants and the amount of medications the patient is on after such surgeries. Cornea Transplant has a much better survival than other tissue transplants. The medications are also definitely less in number and less expensive. However they must be taken regularly till the doctor
If the transplanted cornea is rejected by the body, patient might feel:
Sensitivity to Light
This can happen as early as one month post-surgery and as late as years after the cornea transplant. Rejection may be successfully reversed and vision regained following prompt diagnosis & medical therapy.
Selective cornea transplant wherein we change only the corneal layer affected with the new layer taken from the graft, has a miniscule rejection rate and is the way forward in future. The techniques of selective cornea transplant like DALK, DSEK have been mentioned above already.
Eye donation is the most noble idea which can click a person during his lifetime. Helping someone see and live his life in a much better way, even after you are gone, in itself sounds like a great idea. But unfortunately despite so much awareness, very few people donate. So let us understand it better! In India, we have an estimated 4.6 million people with corneal blindness that is curable through corneal transplantation, made possible only by eye donation. Corneal transplantation in infants born with cloudy cornea can make a big difference to their lives.
Through the Eye Bank, we obtain, evaluate and distribute the eyes received as donations for use in corneal transplantation. This is done with utmost care taking into account patient safety by adopting strict medical standards. All religions endorse eye donation. Eyes need to be removed within six hours after death and so it is important to get in touch with your nearest eye bank at the earliest. You can ask any medical officer for the same. Once the cornea of the donor eye is removed, it is replaces with a plastic covering below the eyelids. Hence,the facial appearance of the deceased does not change after the eye donation. So, take a pledge today to donate your eyes. More importantly, educate your children regarding the nobility of eye donation. Their consent would be mandatory for eye removal after you are gone.
“Why bury..why burn, DONATE EYES.”
There are many who need your donation to live their lives in a better way!
Children with corneal opacities (white opacities in the centre of the eye) require an early and customized treatment. The most common presentations are congenital (from birth) corneal opacities, corneal dystrophies, corneal infections, trauma and nutritional deficiency associated corneal problems. If not managed timely, they can lead to amblyopia (lazy eyes) and irreversible vision loss. We offer various surgical options for children with corneal problems such penetrating keratoplasty/ full thickness cornea transplant, partial thickness cornea transplant/ lamellar keratoplasty such as Deep Anterior Lamellar Keratoplasty and Descemet’s stripping endothelial keratoplasty, rotational autokeratoplasty and keratoprosthesis.
Our centre is equipped with general anaesthesia services for adequate management of these kids. Dr Rajat Jain has keen interest in the management of paediatric corneal diseases, a sub-group usually not touched by many.
Our pediatric ophthalmologist has been trained to make their lazy eyes active and maximize their functionality. It needs to be re-emphasized that if these patients are not treated in time, even the best possible care in future will fail to provide vision.
Note to our patients: Paediatric corneal opacities need management on emergency basis. If not treated early in life, the chance of obtaining successful vision in future is miniscule even with the best possible treatment. Please consult a paediatric cornea specialist at the earliest.