2219 York Road, Suite 102, Lutherville-Timonium, MD 21093
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FAQ About Corneal Transplants and Keratoconus

Welcome to our FAQ page, where we delve into some of the most frequently asked questions about keratoconus, shedding light on treatments such as Corneal Cross-Linking (CXL), corneal transplants, scleral lenses, PROSE, EyePrint Pro, and more. This resource is designed to provide clarity and insight into various aspects of keratoconus treatments, helping you navigate your journey with informed confidence.

Keratoconus Specialists of Maryland, where we have been dedicated to providing expert care for individuals with keratoconus for over 40 years. Our practice is at the forefront of keratoconus treatment, offering a comprehensive range of services tailored to meet the unique needs of each patient.

With a deep understanding of the challenges faced by those with keratoconus, our team is committed to delivering the highest quality of care. We pride ourselves on our ability to restore hope and improve the vision of many patients who had previously felt hopeless about their condition. Our personalized approach ensures that every patient receives the best possible treatment, empowering them to achieve better vision and an enhanced quality of life.

We are proud to serve patients from across Maryland, including the cities of Annapolis, Baltimore, Bethesda, Columbia, Frederick, Glen Burnie, Hunt Valley, Owings Mills, Pikesville, Rockville, and Towson. We also welcome many patients traveling from Virginia, including Alexandria, Fairfax, Reston, Tysons, and Vienna, as well as from Pennsylvania, including Harrisburg, Hershey, Lancaster, and York.

FAQs on Corneal Transplants and Keratoconus

What is a corneal transplant, and when is it considered for keratoconus?

A corneal transplant, also known as keratoplasty, is a surgical procedure that replaces part of the cornea with corneal tissue from a donor. For keratoconus, a corneal transplant should only be considered if there is a medical concern of the cornea rupturing. It should not be viewed as a means to achieve better vision. Before considering a major eye surgery, patients should consult with a specialist who is experienced in fitting scleral lenses, PROSE, and EyePrint Pro. A corneal transplant is a last resort for addressing medical needs, not for improving vision.

Do I need to get a corneal transplant for keratoconus?

Most often, no. A corneal transplant is usually only necessary when there’s a critical medical need, which is often not the case for keratoconus. Many patients can manage their condition effectively with other treatments, such as scleral lenses.

Are there different types of corneal transplants for keratoconus?

Yes, there are different types of corneal transplants, including penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty (DALK). PK involves replacing the entire thickness of the cornea, while DALK replaces only the front layers, preserving the patient’s own endothelium. The choice of procedure depends on the extent of corneal damage and the surgeon’s assessment.

What can I expect after a corneal transplant for keratoconus?

After a corneal transplant, patients can expect a recovery period that may last several months. Vision may initially be blurry and gradually improve over time. Regular follow-up visits with the surgeon are essential to monitor the healing process and to adjust any medications. It’s important to understand that a corneal transplant does not guarantee perfect vision, and many patients still require glasses or contact lenses for optimal vision.

What are the risks associated with corneal transplants for keratoconus?

As with any surgical procedure, corneal transplants carry risks, including rejection of the donor cornea, infection, glaucoma, cataracts, and issues with sutures. These risks are generally manageable with appropriate post-operative care and monitoring. Patients should discuss the potential risks and benefits with their surgeon before proceeding with the surgery.

Can I wear contact lenses after a corneal transplant for keratoconus?

Yes, many patients may still need to wear contact lenses after a corneal transplant to achieve the best possible vision. The type of lens and the fitting process may vary depending on the individual’s needs and the shape of the transplanted cornea. It’s important to work closely with an eye care professional experienced in fitting contact lenses post-transplant.