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Hello and thanks for your question. Can you tell me what you mean by the cornea transplant "made the damage worse"? Do you know what his vision was prior to surgery?
Any other problems like a traumatic cataract? Retinal detachment?
The Dr told me that since my brother had a cornea transplant years ago, that made this damage worse now. He didn't have a traumatic cataract. I don't know if something happened to his retina now too
Hmmm... Thanks for that additional information. It's difficult to imagine how a corneal transplant would've made the open-globe injury worse. Open-globe injuries, though, come in all sorts of different severities, degrees, anatomical locations and complications. I imagine that if he required a corneal transplant, it was likely because there was significant scarring from the rupture and subsequent sutures, that useful vision wasn't possible. In this case, only a corneal transplant would make useful vision possible.
It's also possible that he may have developed glaucoma after a corneal transplant--this is not uncommon. But in his case, the trauma to the eye, alone, can predispose and lead to glaucoma so I couldn't say that the corneal transplant would necessarily be entirely to blame.
The Dr told me he reattached the cornea. He never had glaucoma. he had many eye exams
Okay. It's possible that if the cornea ruptured at its base, then re-attaching may have caused significant amounts of astigmatism, causing his vision to be poor even in glasses. If this were the case and a corneal transplant was done in hopes of lessening astigmatism, then I could see where he may have ended up no better, and maybe even worse. However...
Without specific information regarding how his eye is worse because of a corneal transplant, everything I can offer is merely supposition.
but do you think anything can be done if the future to help improve his sight? Would a new cornea transplant help?
It's certainly possible--if the corneal transplant did not take, and perhaps there is scarring or opacification of the transplant, then yes, ostensibly a new corneal transplant may help. If he has not been seeing one, then I would recommend that he start seeing a corneal specialist who would be able to answer that question definitively--unfortunately, not being able to examine him, I can't say for sure.
I understand. I live in NY and he originally had the transplant done at Manhattan Eye and Ear. that is a very good hospital. I will take him back there after he recovers. Do you think that a ruptured globe specialist would also be able to help?
Well, unfortunately there really isn't such thing as a ruptured globe specialist; any ophthalmologist can close a ruptured globe. Retina surgeons tend to be the closest thing we'd have to a ruptured globe specialist, though many of them don't tend to pay much attention to the ultimate vision and how to modulate for the best vision post-operatively after the initial closure is done. I think the cornea guys at Manhattan Eye and Ear would probably be the best bet.
Ok, Dr, thank you very much for all your advice. I really appreciate it. Have a good evening now.
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Good bye and good luck to him.
thanks again. bye now
I just found out that my brother's retina was detached too. Is there such a thing as a retinal transplant?
My brother was punched in the eye this past Saturday. His cornea transplant that he had done years ago came out. The Dr told me he reattached that. The Dr told me that he had a ruptured globe and that his retina was detached.My brother can only see light now. He told me that he saw a yellow light and a blue light when it was flashed in front of his eye. Is that a good sign? Also, would my brother have to have his retina attached as soon as possible or does this have to be done after the swelling from the surgery he already had goes down? My brother had his cornea transplant at Manhattan Eye and Ear and I would want to take him back there for the retina surgery.
I read about retina surgery being done with the use of stem cells. Do you know anything about this?
I understand that you have to be truthful with the answers that you give me. I just have one more question. In the future, do you think that some kind of stem cell surgery would be able to help my brother?
Hello Again Dr,
I know that the retina stem cell surgery isn't advanced enough now to be able to help my brother, but if does become advanced in the far distant future, would it be able to help my brother then?