Has anyone in this newsgroup had a cornea transplant at Bascom Palmer Eye Institute in FL?

Discussion in 'Eye-Care' started by Ventr2far, Aug 16, 2006.

  1. Ventr2far

    Ventr2far Guest

    Has anyone in this newsgroup had a cornea transplant at Bascom Palmer
    Eye Institute in FL?

    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 their medical staff. The recovery is about a 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 (in my case pellucid marginal degeneration -
    a variant of Keratoconus) has progressed to the point that my piggy
    back contact lens 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
    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 stiches in when I could
    see 20/20 I may have had a more favorable result from the first

    I now live in FL most of the year so I had to decide whether to have
    the procedure in CA or FL. Dr. Alfonso explained that 75% of the result
    is a function of the artistry involved in the after-care (stitch
    removal) and that he would not recommend having a transplant with one
    doctor and the after-care with another.

    Stitch removal is scheduled at regular intervals but if a stitch comes
    loose or breaks you have to run to the doctor's office right away.
    This happened about ten times during the year the followed my first

    The problem with going to a nationally recognized teaching hospital is
    (in my case) an hour or more drive each way plus a waiting period which
    often is 3 or more hours for each visit. This is not a big deal if your
    procedure involves only a few visits but If you have to have many
    visits for after-care you can plan on losing about a day every time you
    need a stitch removed. Bascom Palmer has another location in
    Plantation, FL which is close to the area where I live but their cornea
    transplant surgeon, Kendell Donaldson, MD is pregnant and will be
    unavailable for several months later this year.

    I placed a call today to schedule the surgical procedure with Dr.
    Alfonso. If anyone in this newsgroup has had a transplant with Dr.
    Alfonso please post a reply.
    Ventr2far, Aug 16, 2006
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  2. Have any of the doctors recommended a post-transplant wavefront-guided
    LASIK to try to remove higher-order abberations that may have been induced
    by the transplant??

    I was astounded to find out that Lasik is a viable option for such cases.
    Scott Seidman, Aug 16, 2006
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  3. Ventr2far

    Ventr2far Guest

    Cornea transplant surgery scheduled for Sept 20, 2006 at Bascom Palmer.
    I will post as results are known.
    Ventr2far, Sep 5, 2006
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