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Cornea Transplant Surgery

Advanced Corneal Care in Southern Oregon

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Expert Cornea Transplant Care Close to Home

You don’t have to travel far for world-class cornea care. Our highly trained cornea surgeon offers some of the most advanced corneal transplant procedures available today, including partial thickness, full-thickness, and anterior corneal transplant techniques. These modern procedures are designed to restore vision while preserving as much healthy corneal tissue as possible, allowing treatment to be tailored to each patient’s unique condition.

Restore Vision with Advanced Cornea Transplant Surgery

Advanced corneal transplantation can restore vision, reduce discomfort, and improve quality of life for patients affected by corneal disease, injury, or scarring.

Modern corneal transplant techniques can be tailored to the specific layer of the cornea that has been damaged. The goal is to preserve as much healthy tissue as possible while maximizing visual outcomes and recovery.

What Is a Cornea Transplant?

A cornea transplant replaces diseased or damaged corneal tissue with healthy donor tissue. Depending on the condition being treated, only selected layers of the cornea may need replacement.

Layer-specific transplantation allows surgeons to preserve healthy portions of the patient’s natural cornea and, for some procedures, may allow faster healing and a lower risk of rejection compared with traditional full-thickness transplantation.

Corneal Conditions We Treat

  • Fuchs’ Endothelial Corneal Dystrophy and Other Corneal Dystrophies
  • Keratoconus and Corneal Ectasia
  • Corneal Scarring
  • Corneal Swelling (Edema) and Endothelial Failure
  • Pterygium (Surfer’s Eye)
  • Recurrent Corneal Erosion Syndrome
  • Anterior Corneal Disease
  • Corneal Infections and Their Complications
  • Complex Corneal Disorders

Advanced Cornea Transplant Options

Not every corneal condition requires replacement of the entire cornea. Today’s surgical techniques allow your surgeon to select an approach based on which layers of the cornea are affected.

Endothelial Keratoplasty

DMEK & DSAEK

Endothelial Keratoplasty (EK) is an advanced form of endothelial corneal transplantation. The two primary types are Descemet Membrane Endothelial Keratoplasty (DMEK) and Descemet Stripping Automated Endothelial Keratoplasty (DSAEK).

These procedures are commonly used for Fuchs’ endothelial corneal dystrophy and other disorders affecting the innermost layer of the cornea.

DMEK

In DMEK, only the innermost diseased endothelial layer is replaced, allowing the remainder of the patient’s natural cornea to remain intact.

Benefits of DMEK

  • Higher likelihood of achieving good vision
  • Faster visual recovery
  • Lowest rejection rates among transplant techniques
  • Small-incision, minimally invasive procedure

DSAEK

In DSAEK, the diseased endothelial layer is replaced with a thin layer of donor tissue while preserving the rest of the patient’s natural cornea.

Benefits of DSAEK

  • Predictable good visual outcomes
  • Shorter recovery time than full-thickness transplantation
  • Smaller incision than traditional full-thickness transplant surgery
  • Effective treatment for corneal swelling and endothelial disease

What conditions does DMEK treat?

Primarily Fuchs’ dystrophy and endothelial failure.

How long is recovery after endothelial keratoplasty?

Many patients notice improvement within weeks, with continued improvement over several months.

Is rejection common?

Rejection risk is much lower for endothelial keratoplasty compared with a full-thickness cornea transplant and is lowest for DMEK.

Why might my surgeon choose DSAEK instead of DMEK?

Certain eye conditions make DSAEK a better option. Your surgeon will evaluate the health and anatomy of your eye to determine which technique is most appropriate.

Penetrating Keratoplasty

Full-Thickness Cornea Transplant

Penetrating Keratoplasty (PK) is a full-thickness cornea transplant in which all layers of the damaged cornea are replaced.

This procedure may be recommended when disease or scarring affects the entire cornea.

Benefits of PK

  • Treats severe corneal scarring
  • Can address advanced keratoconus
  • Appropriate for complex corneal disease
  • Long-established treatment with excellent long-term success

When is PK needed?

PK may be recommended when disease affects the full thickness of the cornea.

How long is recovery?

Visual recovery may take several months to a year.

DALK

Deep Anterior Lamellar Keratoplasty

DALK replaces the front layers of the cornea while preserving the patient’s healthy endothelial layer.

This selective approach reduces the risk of rejection and is frequently used for keratoconus and certain corneal scars.

Benefits of DALK

  • Preserves healthy inner corneal tissue
  • Lower rejection risk than full-thickness transplantation
  • Strong long-term structural integrity
  • Excellent option for keratoconus patients

Who is a candidate for DALK?

Many patients with keratoconus or anterior corneal scars may be candidates for DALK.

What is the main advantage of DALK?

The patient keeps their own endothelium, which lowers rejection risk.

What are the downsides of undergoing DALK?

DALK is a technically more challenging procedure, and your surgeon may need to convert to a full-thickness penetrating keratoplasty transplant.

Corneal Tissue Addition Keratoplasty

CTAK

About CTAK

Corneal Tissue Addition Keratoplasty (CTAK) is an innovative, minimally invasive treatment designed for selected patients with keratoconus and corneal irregularity.

Unlike traditional corneal transplant procedures, CTAK uses precisely shaped donor corneal tissue to strengthen and reshape the cornea while preserving the patient’s native corneal tissue.

CTAK may be appropriate for patients with keratoconus, corneal ectasia, or significant corneal irregularity who are seeking an alternative to traditional corneal transplantation. A comprehensive corneal evaluation and advanced imaging are necessary to determine candidacy.

Learn More About CTAK

Benefits of CTAK

  • Minimally invasive alternative for selected keratoconus patients
  • Preserves the patient’s own cornea
  • Can improve corneal shape and visual quality
  • May reduce irregular astigmatism
  • Potentially delays or avoids the need for full corneal transplantation
  • Compatible with future corneal procedures if needed

What is CTAK?

CTAK stands for Corneal Tissue Addition Keratoplasty, a tissue-augmenting procedure that adds donor corneal tissue to reshape and strengthen the cornea.

Is CTAK a corneal transplant?

CTAK utilizes donor tissue, but it differs from traditional corneal transplantation because the patient’s cornea is preserved rather than replaced.

Can CTAK treat keratoconus?

Yes. CTAK was developed primarily to help selected patients with keratoconus and corneal ectasia by improving corneal structure and reducing irregularity.

How long does CTAK recovery take?

Recovery varies by patient, but many individuals experience gradual visual improvement over several weeks to months as the cornea stabilizes.

Can CTAK prevent a future corneal transplant?

For some patients, CTAK may improve corneal function sufficiently to delay or avoid the need for more extensive corneal transplant surgery.

BrightMEM Anterior Keratoplasty

BMAK

About BMAK

BrightMEM Anterior Keratoplasty (BMAK) is an innovative anterior corneal transplantation technique designed to replace diseased front corneal tissue while preserving healthy posterior layers.

This tissue-sparing approach may provide improved healing characteristics and maintain more of the eye’s natural anatomy for selected patients with anterior corneal disease.

Potential Benefits of BMAK

  • Layer-specific treatment approach
  • Preserves healthy corneal structures
  • Potentially faster recovery than full-thickness transplantation
  • Designed for selected anterior corneal disorders

What is BMAK?

BMAK is a tissue-sparing anterior keratoplasty technique for selected anterior corneal disorders.

What are the benefits of BMAK?

BMAK is designed to preserve healthy tissue and maintain natural corneal anatomy. The BrightMEM tissue can help stabilize the cornea and prevent disease recurrence.

Which Corneal Procedure Is Right for You?

The most appropriate corneal transplant procedure depends on the cause and location of your corneal disease. During your comprehensive consultation, Dr. Jarstad will perform advanced diagnostic testing to determine the most appropriate treatment and explain expected outcomes, recovery, and long-term care.

Schedule a Cornea Consultation in Southern Oregon

If you have been diagnosed with Fuchs’ dystrophy, keratoconus, corneal scarring, or another corneal condition, Dr. Jarstad can help you understand your treatment options.

Contact Cataract & Laser Institute today to schedule a cornea evaluation and learn whether corneal transplantation may be appropriate for you.

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