Corneal Transplant Surgery Questions and Answers Archive


Q&A: Can I have LASIK after having RK?


i have a corneal transplant on my right eye as a result of a botched radial keritonomy, i had 20 cuts in each eye as the result of RK in 1993 i am having trouble with the fit of a gas permeable contact which rides nasal. my dr has suggested he could do lasik but it could result in the scars rupturing during surgery. he also said he could do prk instead of lasik. is this a successful surgery for my eye due to the transplant and is there any thing else to correct my vision. thank you audrey


 Ernest W. Kornmehl, MD -

Absolutely no PRK. It may be possible to due LASIK if there are no epithelial inclusions.

-- Ernest W. Kornmehl, MD
Brookline, Massachusetts


Q&A: What are my options for keratoconus?


some body told me they started developing a new laser techniqu to treat kerato konus , but I won't advise to do it rigtnow , I am a long term sufferer of that disease , which can be corrected somehow with corrective lenses, please give my optiions rightnow and aftter some years. thank you , hosni


David B. Cano, M.D. -

There is work being done with intraacorneal rings for keratokonus that seems to have some promise. I would avoid any laser procedure on a thin diseased cornea with keratoconus. Of course corneal transplantation is an option if you can not be corrected with contacts or g

--David B. Cano, M.D.
West Palm Beach, Florida


Q&A: I have been diagnosed with corneal guttata. Could you please tell me what it is and if it has a good prognosis?


I have been diagnosed with corneal guttata and have not been able to get any information on it. Could you please tell me what it is and what the prognosis is. I have a strong family history of glaucoma in my family. Thank you!

- Carol


John D. Zdral, M.D. -

Guttata are a microscopic anomaly, like a "pitting" on the posterior face of the cornea. It tends to be a minor problem in general, and in fact most people never notice any problems. In a few extreme cases, the guttata can predispose the cornea to swelling, or edema, which can make the vision more blurry. For this problem, there are medicines in the form of drops or ointment which work quite well, when needed. In rare instances, a severe case of guttata can lead to enough edema to require a corneal transplant. If you would like to schedule an eye examination please feel free to call our office at 1-800-824-1073. Sincerely, John Zdral, M.D.

--John D. Zdral, M.D.
Fullerton, California