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I want to make sure I am answering the right question. It sounds like you have corneal problems following your cataract surgery and you may need a cornea transplant ? Is that correct? If not, can you describe what the issue is and how it has been handled and I can help with the needed surgery ? Dr. Stevens
I apologize for the delay in answering. Back to your issue, it sounds like you have corneal clouding and decompensation following cataract surgery. The traditional surgery was a cornea transplant. This was a full thickness removal of the old cornea and replacement with a graft taken from a donor. The latest treatment for corneal clouding and vision deterioration is a surgical procedure called DSAEK which is a Partial Thickness Corneal Transplant Endothelial Keratoplasty. This is a much cleaner surgery than the traditional penetrating keratoplasty where the entire cornea is transplanted. The risks of the surgery as in any eye surgery is infection occuring in about 1 in a 1000. Other risks are inflammation, discomfort, transient blurring, all of which are pretty common things one experiences after the surgery. Sometimes a second surgery is needed if the graft misplaces or fails. The positives of this procedure are many. A small incision is made so your overall eye strength and integrity are much better (in case you ever suffer from a fall and possible eye injury). The discomfort of this surgery is minimal versus significant in the traditional surgery. One other positive about it versus traditional cornea transplant is the much faster vision recovery. Overall, the newer procedure that you are referring to is much safer and more convenient, and the procedure I would recommend for most people in your situation. I hope you find this helpful. If you have any questions please do not hesitate to reply to me, I wish you well, Dr. Stevens
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