Monday - Friday 8:00 a.m. - 5:00 p.m
Saturdays 8:00 a.m. - 12:00 p.m.
Sundays & Holidays Closed
  (808) 677-2733
Lasik eye doctor in Ewa Beach HI
 
 
 
 
 
lasik eye doctor.png   Corneal Transplants - Keratoplasty
 
Keratoplasty is the transplant of a donor cornea to replace part of or your entire cornea. Keratoplasty is performed to treat a variety of conditions including:

LASIK Keratoconus - where your cornea bulges outward
LASIK Swelling or scarring of the cornea - can happen by injury to the eye or infection
LASIK Thinning of the cornea
LASIK Corneal ulcers
LASIK Complications caused by previous eye surgery

After the procedure, you should experience relief from pain or discomfort that is associated with these conditions. As with any transplant, there are risks, such as a rejection of the donor cornea. However, most Keratoplasty procedures are successful, particularly in the hands of a skilled surgeon like Dr. McMann.

Note: If you think you are experiencing symptoms of donor rejection (sensitivity to light, loss of vision, pain, or redness in the eyes), make an appointment with us right away.

The following steps must be taken prior to the procedure:

1.Eye Exam - Dr. McMann will perform a thorough eye examination to look for any existing conditions that might cause complications after the procedure. If you have any other unrelated eye problems, these will be treated prior to surgery.
2.Eye Measurements - Everyone's cornea is a different size. We will need a proper measurement of your eye so Dr. McMann can determine what size cornea will be needed for the replacement.

During the Procedure
Keratoplasty is virtually painless and your eye will be numbed during the procedure. Dr. McMann will cut through the cornea and remove the tissue (about the size of a button). Then the donor cornea (already sized to fit) is stitched into place. In a partial cornea replacement, Dr. McMann will remove only those layers that need removing. For the inside layers, a very small incision will be made to allow for the removal and replacement without disturbing the outside of your eye. For the outside layers, they will simply be removed and replaced.

After the Procedure
You will receive eye drops and an oral medication to prevent infection. You will be required to wear a protective eye covering consisting of gauze to reduce swelling and metal to prevent injury or trauma to the eye. Follow-up exams are necessary after Keratoplasty and the frequency of these exams will depend upon your specific procedure and healing process.

Descemet's Stripping Endothelial Keratoplasty (DSEK)
Dr. McMann is a member of a very small group of surgeons worldwide performing a new form of a corneal transplant procedure called "DSEK" which stands for Descemet's Stripping Endothelial Keratoplasty. Dr. McMann was the first surgeon to ever perform a DSEK at Tripler Army Medical Center.

About 50,000 corneal transplants are performed each year in the United States, often for patients with corneal swelling or edema. In DSEK, only the thin damaged back layer or endothelium is replaced, leaving most of the patient's cornea in place. The expected results include faster return of vision, reduced risks of some complications, and a faster return to daily activities.

Not all patients who require corneal transplants are candidates for DSEK. This procedure is best suited for those who have corneal edema or swelling. Please call us to schedule an appointment to determine if DSEK is for you.
 
 
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McMann Eye Institute 91-2139 Ft. Weaver Rd. Suite 202 Ewa Beach, HI 96706 Phone: (808) 677-2733

McMann Eye Institute proudly serves Ewa Beach, HI and the Oahu areas of Honolulu, Waipahu, Aiea, Wahiawa, Kaneohe, Maunawili, Kahaluu, Kapolei, Iroquois Point and the remaining Hawaiian Islands and the Pacific Rim.

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Michael A. McMann, MD