Corneal Transplant

Lilavati Hospital has been performing Corneal Transplantation or Keratoplasty since 2001. It is ably supported by the Roshni Eye Bank which is a well developed Eye Bank since February of 2001. The Eye Bank is fully equipped with state of the art equipment's and trained personnel for proper evaluation of donor corneal tissue. Eye Banking activities are carried out 24 x 7 to enable timely supply of corneal tissue to patients. Till date, Roshni Eye Bank has retrieved more than 2,500 eye balls.

Services

Day care procedure
Painless surgeries
State of the art Operation Theatre
Well equipped Ophthalmology Department
Fellowship trained experienced Corneal Surgeons
Penetrating Keratoplasty
Lamellar Corneal Transplantation - DSAEK, DALK
In house state of the art Eye Bank
Minimum waiting time for Donor cornea
Excellent support system of physicians and paramedics for all patients

Technology and Infrastructure

Advanced Techniques - DSAEK, DALK, Boston Keratoprosthesis
Well equipped Operation Theatre
Well equipped in house Eye Bank

FAQ's

Corneal transplantation or Keratoplasty involves the novel technique of removing damaged or opaque corneal tissue and replacing it with healthy corneal tissue from a human donor. Currently, this is the only scientifically accepted treatment modality for blindness due to corneal diseases also called as corneal blindness.

The various causes of corneal blindness include corneal scar, infections, corneal trauma, corneal damage after cataract surgery, Keratoconus, corneal dystrophy etc.

Keratoplasty could be further classified based on techniques and indications. Full thickness corneal transplantation wherein all the layers of the cornea are transplanted is called Penetrating Keratoplasty or PK. When done to improve vision, it's called Optical Penetrating Keratoplasty. Sometimes, we may need to perform Penetrating Keratoplasty to eradicate severe corneal infection and it's called Therapeutic Penetrating Keratoplasty.

Cornea consists of five layers. Newer technique of Corneal Transplantation involves replacing only the diseased layer and replacing it with a similar but healthy layer of the cornea. This technique is called as Lamellar Corneal Transplantation. Following are the newer techniques in the same.

DALK
When we replace the diseased front layers of the cornea, it is called Deep Anterior Lamellar Keratoplasty or DALK. Various indications for DALK include Keratoconus, corneal scars, corneal dystrophy, etc. The advantages of DALK over PK include a lesser chance of rejection of donor tissue and faster visual rehabilitation. However, it's a more technically demanding technique.
DSAEK / DSEK
When the back layers of the cornea are damaged, similar lamellar transplantation can be performed and the diseased back layers can be replaced with healthy tissue. This technique, called Descemet Stripping Automated Endothelial Keratoplasty or DSAEK, involves transplanting and securing the cornea often without any sutures or stitches. The advantage of DSAEK includes a lesser risk of corneal rejection and faster, better visual recovery.
Boston Keratoprosthesis
Keratoprosthesis is an artificial device implanted in eyes with multiple failed penetrating keratoplasty. It consists of a PMMA optical cylinder with a back plate fitted onto a donor corneal tissue, and the entire assembly is then sutured to the donor.

Professionals

Dr. Vinay B. Agrawal

Ophthalmology

MS, DNB, DO, FLVPEI

Quick Appointment

Overview

What is Corneal Transplantation?

Causes for Corneal blindness?

What are the different types of Corneal Transplantation?

What are the newer techniques for Corneal Transplantation?

Dr. Vinay B. Agrawal