Corneal Transplantation: with Videos

The cornea is the clear,outer layer at the front of the eyeball. A corneal transplant is an operation to remove all or part of a damaged cornea and replace it with healthy donor tissue. It is used to improve sight, relieve pain, and treat severe infection or damage. The third edition of this comprehensive manual has been fully revised to provide surgeons with the latest advances in the field.

Format: Paperback / softback
Length: 592 pages
Publication date: 09 November 2022
Publisher: Jaypee Brothers Medical Publishers

The cornea, a transparent and vital outer layer situated at the front of the eyeball, serves as a crucial window to the inner world. Its primary function is to focus light rays onto the retina, where an intricate image is then transmitted to the brain. However, when the cornea sustains damage, its transparency and shape can be altered, impeding the passage of light and distorting the perceived image. This impairment can lead to vision problems and even blindness.

In cases where the cornea is severely damaged, a corneal transplant, also known as keratoplasty or corneal graft, becomes a necessary treatment option. This procedure involves the removal of all or part of the damaged cornea and the replacement of it with healthy donor tissue. The goal of a corneal transplant is to restore vision, alleviate pain, and treat severe infections or damage that may have affected the cornea.

One of the most common reasons for a corneal transplant is keratoconus, a condition in which the cornea gradually thins and bulges into a cone shape. This abnormal curvature can cause distorted vision, sensitivity to light, and even blindness. Keratoconus can be inherited or develop due to factors such as age, genetics, eye injuries, or certain medical conditions.

Corneal transplantation is a complex and delicate procedure that requires the expertise of skilled ophthalmic surgeons. The procedure involves the transplantation of the donor cornea, which is carefully matched to the recipient's eye to ensure optimal visual outcomes. The donor cornea is typically obtained through eye banks, which collect and preserve corneal tissue from deceased individuals.

The surgical procedure itself can vary depending on the extent of damage and the specific technique employed. Endothelial keratoplasty, also known as DSEK or Descemet's stripping endothelial keratoplasty, is a common technique used for treating keratoconus. In this procedure, the damaged endothelial layer of the cornea is replaced with a healthy donor tissue. The donor tissue is carefully sutured onto the recipient's cornea, allowing it to heal and function normally.

Other keratoplasty techniques include penetrating keratoplasty, deep anterior lamellar keratoplasty, and scleral tunnel keratoplasty. Each technique has its advantages and disadvantages, and the choice of technique is based on the individual patient's condition, surgical experience, and preferences.

Corneal transplantation is a highly successful procedure with a high success rate. However, as with any surgical intervention, there are potential complications that can occur. These complications can include infection, rejection of the donor tissue, and vision loss. To minimize these risks, surgeons take meticulous care during the preoperative preparation, surgical procedure, and postoperative management.

In addition to restoring vision, corneal transplantation can also improve the quality of life for patients. It can alleviate pain and discomfort associated with damaged cornea, allowing individuals to engage in activities that were previously difficult or impossible. Moreover, corneal transplantation can enhance social and emotional well-being, as it can improve self-esteem and confidence in individuals who have suffered from vision problems.

In conclusion, corneal transplantation is a vital treatment option for individuals with damaged or diseased cornea. It is a complex and delicate procedure that requires the expertise of skilled ophthalmic surgeons. With the advent of new technologies and surgical techniques, corneal transplantation has become increasingly successful, providing patients with improved vision and quality of life. However, it is important for patients to seek the advice of qualified professionals and carefully consider the risks and benefits of the procedure before making a decision.

Dimension: 279 x 216 (mm)
ISBN-13: 9789389587227
Edition number: 3 Revised edition