50 percent of patients undergoing penetrating keratoplasty (corneal transplant in full) could benefit from a corneal endothelial transplantation (transplant time).
Intervention It is “much less invasive, better visual results with a lower risk of rejection,” according to Europe Press said the Corporation Visa ophthalmologist Ophthalmology, Dr. Francisco Arabic.
Corneal transplantation tops the list for organ transplants in Spain, with about 3,000 operations per year, well above the 2,000 kidney transplants or the more than 1,000 patients who received a new liver in 2009, said Arabic. Despite the partial transplant is done only in a dozen hospitals in our country, this expert says that “between 1,000 and 1,200 people each year could benefit from this technology.”
Transplantation of corneal endothelium is a technique “complex but with excellent results,” said Dr. Arabic, and solves those pathologies in which this part of the cornea (the most profound and equivalent to 5-10% of total body) is not able to pump water out of the cornea, causing it to swell and become opaque.
In this sense, the patient profile candidate to take advantage of this technique is usually that of a person between 70 and 80 years who have had complications with cataract surgery, people with Fuchs’s dystrophy (blurring degenerative) of between 50 and 60 years, and patients with a defect in endothelial function, either by a surgical trauma or a congenital or genetic corneal dystrophy.
The success rate of intervention is “relatively high”, said Arabic. “If patients are selected properly, only to be repeated 5 or 10 percent of patients, and in many cases what is done is to return to perform another transplant endothelium, which resolves the problem.”
FIT TO DRIVE
In any case, “the best of this technique is that more than half of her patients achieve visual acuity above the legal minimum for driving. We do not talk so to get enough vision to roam and roughly handled, but visions acceptable even by the Directorate General of Traffic (DGT), “said the specialist.
Moreover, “the recovery period goes from the nearly two full years after transplantation, those less than three months with endothelial transplantation,” he said. Moreover, “the organ rejection rate is much lower because fewer transplanted tissue transplantation with full-and less aggressive, in most cases the complications are resolved with a steroid cycle, Arabic added.
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Tags: corneal endothelial transplantation, genetic corneal dystrophy, ophthalmologist Ophthalmology
