Corneal Transplantation and Eye Bank

Corneal transplantation, also known as Keratoplasty, is a procedure of replacing the diseased Cornea (the transparent tissue which forms the outer cover of the eye) with a healthy one from a donor. Corneal transplantation can be done for patients with different types of diseases of the cornea provided that all inner structures of the eye are healthy and functioning well.

What are the types of corneal transplantation?
Full thickness corneal transplantation, known as Penetrating Keratoplasty; is the oldest, most time tested and the most commonly performed surgery in which the whole of the patients’ cornea is replaced with that of a donor.

However, scientists and cornea specialists world over realised that replacing full thickness of the cornea is a wastage of precious donor tissue for diseases which involve only a part of the patient’s eye. This led to the development of modern partial thickness transplant procedures, known as Lamellar Keratoplasty. In Lamellar Keratoplasty procedures, only the dieased layers of the patient’s cornea and are replaced with similar healthy layer from a donor and the healthy layers are retained.

This leads to faster visual recovery, lesser duration and frequency of medications post op and lesser number of follow ups and complications. It also allows the Cornea specialists to split one donor cornea into two parts and treat two potential patients /recipients thus reducing the demand for donor tissues and lesser wastage.

Cornea specialists at Laxmi Eye Institute are well versed with all the modern tranplantation techniques. The patients can reap the benefits of this expertise.

Which corneal diseases can be treated by transplantation?
Most of the corneal diseases like non healing infections, swelling and cloudiness of the cornea, abnormal shape of cornea, abnormal deposits and white scars and spots after injury or infection can be treated by transplantation. The vision recovery of the patients is good after corneal transplantation provided the inner structures of the eye are healthy and functioning well.

How can I get a corneal transplantation at Laxmi Eye Institute?
Laxmi Eye Institute is a government recognised, and Human Organ Transplant Act (HOTA) accredited Keratoplasty center. To avail this treatment, a patient simply has to book an appointment to see the Cornea specialist. A careful and detailed examination is carried out in the Cornea department and after ensuring suitability for transplantation and determining the type of transplantation, the patient is enrolled on our register for transplantation. As soon as Laxmi Eye Bank recieves a donor corneal tissue which is suitable to the patient’s needs he or she is contacted and invited to come to the institute within a day or two to get the cornea transplanted. Our counsellors, constantly keep in touch with the patients and relatives to update them about the proceedings.

Do you implant prosthetic corneas?
Yes, at Laxmi Eye Institute we implant highly specialized ‘keratoprostheses”, like the Boston keratoprosthesis, LVP keratoprosthesis, and others. This surgery is suitable for patients who have undergone multiple corneal transplants in the past that have failed, or as the first surgery in eyes where a corneal transplant has a very high risk of failure. Patients can enjoy excellent vision for many years after this surgery.

Do I have to arrange for a cornea donor?
No, Laxmi Eye Bank takes care of this. Laxmi Eye bank is a fully functional, HOTA accredited eye bank. It is the sole eye bank in Raigad district with a large catchment area. Our grief counsellors are not only active in the community and hospitals in Panvel and neighbouring Navi Mumbai area but also deep into the interiors of Raigad district. They carry out awareness and motivational activities routinely to promote Cornea donation after death. This leads to a healthy turnover of donor cornea tissues at Laxmi Eye Bank thus minimising the waiting time for potential recipients.

More about Laxmi Eye Bank…
Laxmi Eye bank is a HOTA accredited eye bank, managed by Laxmi Charitable Trust, which stands as the backbone of the Cornea Transplantation programme at Laxmi Eye Institute and Charitable Trust hospital. At Laxmi Eye Bank we follow international standards in acquisition of donor tissue, evaluating it, processing it and maintaining records. Using latest technology like the Keratoanalyser to detemine the health of the donor tissue enables the Cornea specialist to match the tissue to a best suited recipient. This combined with the expertise and experience of our highly trained staff and Cornea surgeons ensures a predicatble outcome for our Corneal Transplant patients.