How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rick Your Own Question

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7855
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
48069651
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

I have had two corneas rejected(DSAEK) In a week I must give

Resolved Question:

I have had two corneas rejected(DSAEK) In a week I must give my doctor an answe to another DSAEK procedure or a complete cornea transplant. Help!
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. Rick replied 3 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

do you know why your last two DEAEK were rejected?

Dr. Rick :

And why your surgeon believes that a PK will have a better survival chance?

Customer:

The first was it had been damaged in transport.

Customer:

The second did not attach itself after I had an emergency surgery to remove the water which had caused extreme headaches!! I can't answer the last question until I speak to Dr. Salinger. Can you help me?

Dr. Rick :

Hi. sorry we keep missing each other on the chat system....

Dr. Rick :

If there has been two failures of the DSAEK it is possible that the inner aspect of your cornea (where the endothelium attaches) is no longer healthy enough to support a new graft. Also, to do the DSAEK surgery it is necessary to be able to see what you are doing through the host cornea.....perhaps yours is no longer clear enough to do the surgery safely.

Dr. Rick :

If the doctor is willing to attempt another DSAEK procedure, and feels that, all things being equal, it has a good chance of working this time, I would go with that first. If things go to pot again, you can always fall back on a full thickness corneal transplant.

Dr. Rick :

Hi. Welcome to chat.

Dr. Rick :

Now that you are here.....what condition lead to you needing DSAEK? Is your surgeon a corneal specialist?

Customer:

I have Fuchs dystrophy and Dr. Salinger is a cornea specialist

Dr. Rick :

Ok. Fuchs dystrophy responds well to DSAEK and PK. Cornea specialist is good.

Dr. Rick :

It may be that you have just had bad luck these last two times. Tissue damaged in transport happens and pressure/fluid problems happens. I'd go for the DSAEK if Dr. Salinger feels it is a good idea. What are your thoughts on the issue?

Dr. Rick :

My mom lives in West Palm Beach too....

Dr. Rick :

I guess you have gone offline.

Dr. Rick :

Your back :)

Dr. Rick :

My system says you have been typing for over ten minutes now....I think the system may be stuck. We can continue on Q&A

Expert:  Dr. Rick replied 3 years ago.
What Happens Now?

Your chat has ended, but you can still work with your Expert to get an answer to your question if you have not yet received one.

Come back to this page at any time to see additional information from your Expert.  You will also receive an email when your question is updated.  If you want to send a message to your Expert, use the box below.

If you have already received a satisfactory answer to your question, click the Accept button above.  Experts are credited for each accepted answer they provide.
Expert:  Dr. Rick replied 3 years ago.
I'm sorry but nothing that you have typed recently was posted......but I'm still here.
Expert:  Dr. Rick replied 3 years ago.
And, now, the obligatory word from our sponsors: :o)
I hope that this information was helpful for you. Please, allow me get credit for my time and effort in assisting you and press the ACCEPT button for this assist. I will be glad to answer additional questions until you are satisfied. Thank you very much.

Positive Feedback and/or Bonus is welcomed and appreciated.
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7855
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and 4 other Eye Specialists are ready to help you
Expert:  Dr. Rick replied 3 years ago.
I am still here and we can "chat" using the Q&A function if you would like to continue working on your question.
Expert:  Dr. Rick replied 3 years ago.
The best thing to do is to trust your surgeon. Ask him which procedure he thinks is best for you....

My vote is for a repeat DSAEK, but remember I'm just a retina guy.

Best of luck to you; third times a charm :)
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 7855
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and 4 other Eye Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology