Corneal Transplantation - Indications

Indications

Indications for corneal transplantation include the following:

  • Optical: To improve visual acuity by replacing the opaque or distorted host tissue by clear healthy donor tissue. The most common indication in this category is pseudophakic bullous keratopathy, followed by keratoconus, corneal degeneration, keratoglobus and dystrophy, as well as scarring due to keratitis and trauma.
  • Tectonic/reconstructive: To preserve corneal anatomy and integrity in patients with stromal thinning and descemetoceles, or to reconstruct the anatomy of the eye, e.g. after corneal perforation.
  • Therapeutic: To remove inflamed corneal tissue unresponsive to treatment by antibiotics or anti-virals.
  • Cosmetic: To improve the appearance of patients with corneal scars that have given a whitish or opaque hue to the cornea.

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