2 weeks since corna transplant at Bascolm Palmer Eye Institute

Discussion in 'Eye-Care' started by Ventr2far, Oct 6, 2006.

  1. Ventr2far

    Ventr2far Guest

    2 weeks .. no problems. The surgery was a breeze...local anesthetic,
    great staff, suregon is fantastic.. No pain. Taking drops as
    prescribed. Follow-up concultation every 3 weeks.

    Background
    I have Keratoconus in both eyes. My first cornea transplant was at
    Kaiser, in April 2004 by David Gritz, MD, an Oakland CA based surgeon
    on Kaiser's staff. The recovery is about 1 year from the time of
    the procedure (outpatient - performed at Kaiser's Richmond facility)
    until the last stitch comes out. I could see 20/20 out of the surgical
    eye until the last stitch came
    out. After that my vision seemed as bad as it was before the procedure.
    Dr. Gritz performed an AK on the transplanted cornea which helped me
    regain vision to about 20/40 with glasses ... which I am told is still
    a good result. The astigmatism left in the transplanted eye is in an
    area of the eye which causes contact lenses (even GBL lenses) to pop
    out. Now, about 2 1/2 years later, I find my surgical eye is fatigued
    by 5pm and the Keratoconus has progressed to the point that my piggy
    back contact lens in my right eye can no longer be tolerated. Thus I
    can not see in the evenings so it is time to make the next big
    decision.

    Last week I had a consultation with Edwardo Alfonso, MD at the
    University of Miami Bascom Palmer Eye Institute. He comes highly
    recommended by both my optometrist, Dr. Heidi Wagner at Nova University
    and my cousin who just had the new, minimally invasive, cornea surgery
    procedure called DSAEK (performed by Dr. Alfonso). Dr. Alfonso
    indicated that he may (or usually does?) leave stitches in the eye
    (forever) if 20/20 vision is achieved.

    Has anyone had a transplant where the stitches remain in the eye beyond
    the usual one year recovery period? The implication is that if Dr.
    Gritz had left the stitches in when I could see 20/20 I may have had a
    more favorable result from the first transplant.

    If anyone in this newsgroup has had a transplant by Dr. Alfonso please
    post a reply.
     
    Ventr2far, Oct 6, 2006
    #1
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  2. It's a little difficult to follow your post, but it sounds like you
    originally had a penetrating (full thickness) corneal transplant that
    eventually went bad. Then 2 weeks ago you had a DSAEK, presumably
    because your endothelium failed. I'm responding because I attended a
    seminar on DSAEK last night and was also impressed. However, I got the
    impression the main indications for the procedure are Fuch's endothelial
    dystrophy and bullous keratopathy, but if your transplanted enothelium
    failed (rejection?) transplanting another endothelium might work. Is
    this right? Anyway good luck.

    w.stacy, o.d.
     
    William Stacy, Oct 6, 2006
    #2
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  3. Glenn - USAEyes.org, Oct 6, 2006
    #3
  4. Ventr2far

    Fidelis K Guest

    What is your question?
     
    Fidelis K, Oct 6, 2006
    #4
  5. Ventr2far

    Ace Guest


    Have you asked your surgeon about Intacs for keratoconus?
     
    Ace, Oct 12, 2006
    #5
  6. Ventr2far

    serebel Guest


    Now the retard's a corneal transplant expert. Never a dull moment.
     
    serebel, Oct 12, 2006
    #6
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