Question
Hi!
Do you know what to do when there?s a problem with the healing process after eye surgery?
I don?t know the correct names or medical terms but will try to explain our problem.
My husband has got keratoconos and had a partial cornea transplant done in December 2008.
Everything looked good for a few months but then (as the local eye doctors say) a melt-down process started.
They have since then redone the procedure 2 times. The last time (in July) they transplanted much more of the cornea.
They have also had to patch the transplanted cornea a few times due to leakage of eye fluid.
It does not want to heal properly and his doctors have not figured out why.
He is 30 years old and besides the keratoconos a healthy man as far as we know.
He takes several types of medicine. Opnol drops, Oftaquix drops, Tetralysal pills and now also Ciklosporin drops to hopefully provent a new melt-down process.
They have checked him for rheumatism since that can provent healing. They will also check for something to do with acne.
Do you know if there?s anything else the doctors can do? What could be preventing the healing process from working?
Do you know if there?s anyone specialized in problem cases who his doctor could contact to discuss his case?
Respectfully yours
Mrs. K
Sweden
Answer
Dear Angela,
The two incidents are usually unrelated and independent ie the keratoconus and the melt down process.
There could have been some problem with healing process
Probably your husband must have first undergone a DALK (deep anterior lamellar keratoplasty) and then full thickness k'plasty. Since he is being investigated for rheumatism and rosacea, there might be some autoimmune condition which is underlying and active due to which there was a melt.
In summary, he needs to be under the care of a good cornea specialist and rheumatologist.
Hope this helps,
Best,
Dr Shroff
