Our Summary
This study looked at the trends and practices around corneal transplants in Ireland from 2016 to 2019. The cornea is the clear front surface of the eye, and sometimes it needs to be replaced, or transplanted, due to various diseases.
The research showed that a total of 536 corneal transplants were carried out during this period. These were broken down into different types: about half were Penetrating Keratoplasties (PK), which is a full-thickness transplant; around 40% were Descemet Stripping Automated Endothelial Keratoplasties (DSAEK), a partial-thickness transplant; and the rest were other types of transplants.
The most common reasons for these transplants were Keratoconus (a condition where the cornea bulges outward), Fuchs endothelial dystrophy (a condition that causes vision loss), and Pseudophakic bullous keratopathy (a complication from cataract surgery).
The study found that the number of transplants increased over time, from around 11 per month to 14 per month. While the number of full-thickness transplants remained steady, the number of partial-thickness transplants increased, making them the most common type since 2018.
However, the overall number of transplants in Ireland is still lower compared to other developed countries. This suggests that there could be improvements made to how patients are able to access corneal transplants.
FAQs
- What were the most common reasons for corneal transplants in Ireland from 2016 to 2019?
- What types of corneal transplants were most commonly performed in Ireland during the study period?
- How has the number of corneal transplants in Ireland changed from 2016 to 2019?
Doctor’s Tip
A doctor might tell a patient undergoing a corneal transplant to follow post-operative care instructions carefully, including using prescribed eye drops, avoiding rubbing the eye, and attending follow-up appointments. It’s important to protect the eye from injury and avoid activities that could strain the eye during the healing process. Additionally, maintaining good overall health and regular eye exams can help prevent the need for future transplants.
Suitable For
Patients who are typically recommended for corneal transplant include those with conditions such as Keratoconus, Fuchs endothelial dystrophy, Pseudophakic bullous keratopathy, corneal scarring, corneal ulcers, and other corneal diseases or injuries that cannot be treated effectively with other methods. These patients may experience vision loss, pain, or discomfort that significantly impacts their quality of life. Additionally, patients who have had previous corneal transplants that have failed may also be recommended for a repeat transplant. Ultimately, the decision to undergo a corneal transplant is made by an ophthalmologist based on the individual patient’s specific condition and needs.
Timeline
Before a corneal transplant, a patient may experience vision loss, discomfort, and other symptoms related to their underlying condition. They would undergo a thorough evaluation by an ophthalmologist to determine if a corneal transplant is necessary and if they are a suitable candidate for the procedure.
After the transplant, the patient would undergo a period of recovery and rehabilitation, which typically includes regular follow-up visits with their ophthalmologist to monitor the healing process and ensure the success of the transplant. They may need to use eye drops or other medications to prevent infection and promote healing.
Over time, the patient’s vision should gradually improve as the new cornea integrates and stabilizes. They may still need to wear glasses or contact lenses to achieve optimal vision, but the transplant should help improve their overall quality of life and vision.
What to Ask Your Doctor
Some questions a patient should ask their doctor about corneal transplant include:
- What type of corneal transplant procedure is recommended for my specific condition?
- What are the potential risks and complications associated with the corneal transplant surgery?
- What is the success rate of the recommended procedure?
- What is the recovery process like after a corneal transplant?
- How long will it take for my vision to improve after the surgery?
- Will I need to take any medications or follow a specific post-operative care regimen?
- Are there any restrictions on activities or lifestyle changes that I should be aware of after the surgery?
- How often will I need follow-up appointments to monitor my progress?
- What are the chances of rejection of the transplanted cornea, and how can this be prevented?
- Are there any alternative treatments or options available for my condition besides a corneal transplant?
Reference
Authors: Iselin KC, Greenan E, Hynes C, Shaw S, Fulcher T, Power WJ, Quill B, Guerin M, Lee WH, Murphy CC. Journal: Ir J Med Sci. 2021 May;190(2):825-834. doi: 10.1007/s11845-020-02340-1. Epub 2020 Sep 4. PMID: 32886296