Cornea

Adams-63The cornea is the clear dome shaped covering on the front of the eye.   In order for vision to be clear the cornea must be clear.  Certain corneal diseases or trauma can cause the cornea to become opaque or cloudy, preventing light to pass through clearly.  When this occurs a patient may require a corneal transplant for visual rehabilitation.

DSEK (Descemet’s Endothelial Keratoplasty) replaces the diseased posterior section of the cornea and is replaced with a healthy inner layer of the cornea from a donor.  Initially your vision will be blurry.   As the eye reabsorbs the air bubble (put in the eye at the time of surgery to hold the transplant in place) the vision will improve.   This procedure provides patients with more rapid visual restoration with less discomfort compared with a full corneal transplant.
DSEK is performed as an outpatient.  A patch is placed over the eye and will be removed in the office the next day.  Antibiotic eye drops are used for several weeks and mild steroid eye drops are used for up to a year to prevent rejection.

soccer2007-091PKP (Penetrating Keratoplasty) is a full thickness transplantation of the patient’s cornea and a whole new donor cornea is sutured around the circumference of the cornea.  These sutures remain in the eye for at least 6 months and up to a year.  Your vision can continue to improve for up to a year.  
PKP is also performed as an outpatient and a patch is placed over the eye and will be removed in the office the next day at your post operative appointment.  As with a DSEK , antibiotic eye drops are used for several weeks and mild steroid eye drops are used to prevent rejection.

 
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Office Locations

  • 1034 Riverside Avenue
    Jacksonville, FL  32204
    Phone (904) 354-2114
    Fax (904) 354-2122
  • 1411 South 14th Street, Suite G
    Fernandina Beach, FL 32034
    Phone (904) 354-2114
    Fax (904) 354-2122