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Corneal Transplant Specialist

Cohen Laser & Vision Center

Board-Certified Refractive Surgery Specialists in South Florida

If you have a badly damaged cornea, a cornea transplant could be the best way to restore your eye health and sight. G. Richard Cohen, MD, and Joshua Cohen, MD, the experienced team of ophthalmologists at Cohen Laser & Vision Center in Boca Raton, Florida, offer a variety of advanced cornea transplants, including partial-thickness and full-thickness cornea transplants. To learn more, book your consultation appointment online or by phone today.

Corneal Transplant

What is endothelial keratoplasty?

Endothelial keratoplasty is a surgery that removes the endothelium, the innermost part of the cornea, to replace it with healthy donor tissue. Cohen Laser & Vision Center ophthalmologists perform a type of endothelial keratoplasty known as Descemet’s stripping endothelium keratoplasty (DSEK).

You might need DSEK if you suffer from Fuch’s dystrophy, a condition that causes degenerative changes to the endothelium. DSEK can also be done after cataract surgery or in other situations where your cornea damage is confined to the endothelium. This surgery offers a faster and easier recovery than a full cornea transplant.

You’ll use both antibiotics and steroid eye drops after surgery to encourage healing and minimize chances of rejection.

What is a partial-thickness corneal transplant?

A partial-thickness cornea transplant, called a lamellar keratoplasty, is a surgery in which your Cohen Laser & Vision Center ophthalmologist removes 50-75% of your upper cornea and replaces it with healthy donor tissue. It is typically used in patients with severely damaged or abnormal corneas that cannot be corrected by other surgery. In a partial-thickness corneal transplant, your endothelium stays in place.

You would need a partial-thickness corneal transplant if you have dangerously thin corneas, if you suffer from a condition like severe keratoconus, or if you have significant corneal scarring that’s interfering with your vision. Your Cohen Laser & Vision Center ophthalmologist performs this procedure at a surgery center.

After surgery, you’ll use prescription antibiotics and steroids to enhance healing and reduce the chances of cornea tissue rejection.

Another option to the Penetrating keratoplasty is called IEK. This uses laser technology to cut the patient's and donor cornea precisely resulting in better vision and faster healing.

What is a full-thickness corneal transplant?

A full-thickness cornea transplant, a penetrating keratoplasty, is typically used in patients who have severely damaged corneas, with virtually no healthy cornea tissue. If your cornea is severely thinned, bulging, or scarred, a full-thickness cornea transplant would probably be the only viable option.

In this surgery, your Cohen Laser & Vision Center ophthalmologist removes the majority of your cornea tissue. Your ophthalmologist then places a donor cornea and uses 16-24 tiny sutures to secure it.

As with any surgery involving donor tissue, there’s a chance of rejection and infection, and you’ll use antibiotic and steroid eye drops to minimize those risks.

A cornea transplant might be the only way to save your vision, and your eye health, if you have serious corneal damage. You can trust the world-class ophthalmologists at Cohen Laser & Vision Center for expert care and reliable results. Call the office or schedule an appointment online to learn more about cornea transplants.