Thursday 22 August 2013

Cornea transplant surgery & cornea transplant hospital in India Delhi



 



India is one of the regularly visited medicaltourism destinations. India is known for its healthcare infrastructure with the latest technology and facilities. Due to this reason, the cost of corneal transplants in India is very affordable as compare to other countries. There are two main types of cornea transplants: traditional, full thickness cornea transplant (also known as penetrating keratoplasty) and back layer cornea transplant (also known as endothelial keratoplasty). A corneatransplant replaces diseased or scarred corneal tissue with healthy tissue from an organ donor .The cornea is the transparent front part of the eye that covers the iris, pupil and anterior chamber. Donors can be of any age, as is shown in the case of Janis Babson, who donated her eyes at age 10. The corneal transplantation is performed when medicines, keratoconus conservative surgery and cross-linking cannot heal the cornea anymore. Indications for corneal transplantation include the following:
  • Optical: To improve visual acuity by replacing the opaque or distorted host tissue by clear healthy donor tissue. The most common indication in this category is pseudophakic bullous keratopathy, followed by keratoconus, corneal degeneration, keratoglobus and dystrophy, as well as scarring due to keratitis and trauma.
  • Tectonic/reconstructive: To preserve corneal anatomy and integrity in patients with stromal thinning and descemetoceles, or to reconstruct the anatomy of the eye, e.g. after corneal perforation.
  • Therapeutic: To remove inflamed corneal tissue unresponsive to treatment by antibiotics or anti-virals.
  • Cosmetic: To improve the appearance of patients with corneal scars that has given a whitish or opaque hue to the cornea.


The procedure involves removing a circle of tissue (about 8 mm in diameter) from the patient's cornea. This is performed with special microsurgical instruments. A donor tissue is prepared by removing a matching circle of corneal tissue from the donated cornea. The new cornea is secured to the patient's eye with delicate sutures, which are barely visible and rarely irritate the eye. The procedure will be done under a surgical microscope. The damaged part of the cornea will be cut out. The new cornea will then be placed in the opening. The new cornea will be fastened with very fine stitches. Finally, a patch and shield will be put over the eye. There is another technique called Descemet's stripping endothelial keratoplasty (DSEK). DSEK is used for some types of cornea transplants. It may result in shorter recovery time and better vision. With this technique, the doctor removes a much smaller part of the cornea, compared with older procedures. A healthy, clear cornea is necessary for good vision. If your cornea is injured or affected by disease, it may become swollen or scarred, and its smoothness and clarity may be lost. Scars, swelling or an irregular shape can cause the cornea to scatter or distort light, resulting in glare or blurry vision.

SuccessRate of Cornea Transplant

Corneal transplant is regarded as the highly successful organ transplant surgery. The rate of success depends greatly on the extent and nature of injury to the eye. The rate is as high as 89% with Keratoconus, 73% with Fuchs’ Dystrophy and 60-70% with corneal scarring.
 

Corneal Transplant Surgery, Corneal Transplant India

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