Cornea

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About Cornea

Cornea and Cornea Transplant clinic at Mumbai Eye Care, Cornea and Lasik Centre is one of its kinds. Our fully equipped cornea clinic caters to all corneal disorders like corneal infections, corneal dystrophies, corneal scars and corneal decompensation. We perform all types of corneal transplant procedures such as

  • Full thickness cornea transplant or penetrating keratoplasty
  • Anterior lamellar keratoplasty or DALK
  • Posterior lamellar keratoplasty or DSEK/ DMEK

For those who are not suitable for cornea transplantation or high risk for cornea transplantation, we now have option of Keratoprosthesis. Keratoprosthesis is nothing but artificial cornea.

Ocular surface and dry eye clinic

Ocular surface and dry eye clinic

Dry eye and ocular surface clinic is a special clinic that deals with all types of ocular surface problems such as Dry eye, ocular surface squamous neoplasms, cicatricial conjunctivitis, ocular allergies, chemical injuries, Stevens Johnson syndrome, Peripheral Ulcerative Keratitis and Ocular Cicatrical Phemphigoid (OCP). Along with treatment of dry eye with drops we also perform punctual cautery or punctual plugs. Ocular surface reconstructive procedures such as Amniotic Membrane Grafts (AMG), Mucous Membrane Grafts (MMG), pannus resection are performed at the clinic. For patients with dry eyes and Stevens Johnson Syndrome we have an option of Scleral Contact Lens.

Keratoconus

Keratoconus

It's a common corneal condition that is characterized by forward bulging of the cornea that is progressive and leads to thinning of the cornea. The condition leads to visual distortion and poor vision due to high astigmatism (cylinder power). After one stage patient can no longer have good vision with glasses and may require contact lenses. At Mumbai Eye Care, Cornea and Lasik Centre we have various contact lens options for Keratoconus patients in the form of RGP lenses, Rose K lenses, Mini Scleral and Scleral lenses. Along with the correction of vision with contact lenses, we also have now treatment in the form of Collagen Crosslinking (UVX/C3R/CXL). This procedure arrests the progress of keratoconus and also helps in marginally decreasing the corneal astigmatism. We also offer corrective surgeries such as INTACTS and PRK with CXL to our patients.

Paediatric cornea clinic

Paediatric cornea clinic

Children are not mini adults. Almost 20% of the blindness in children in India is due to corneal problems. Most common ones are congenital (from birth) corneal opacities, congenital hereditary endothelial dystrophy, corneal infections, trauma and nutritional deficiency associated corneal problems. If not treated timely using appropriate surgical procedure, they can lead to amblyopia (lazy eyes) and irreversible vision loss. Mumbai Eye Care, Cornea and Lasik Centre is equipped with general anesthesia services. We offer various surgical options for children with corneal problems such penetrating keratoplasty/ full thickness cornea transplant, partial thickness cornea transplant/ lamellar keratoplasty such as Deep Anterior Lamellar Keratoplasty and Descemet’s stripping endothelial keratoplasty, rotational autokeratoplasty and keratoprosthesis. Dr. Ashar has a keen interest in pediatric cornea and has numerous publications and presentations and has won awards for his work on the challenging partial thickness corneal transplant in children.

Ocular aesthetic and pterygium clinic

Ocular aesthetic and pterygium clinic

At Mumbai Eye Care, Cornea and Lasik Centre, work is not just about providing that perfect vision that you deserve; but to aesthetically correct your eyes. We treat surgically small ocular surface nevi/ moles, remove the pannus or scars following chemical/ thermal burns, and remove the unsightly pterygium. The unique feature about our pterygium clinic is that the surgery is that we do not use any sutures after the surgery for the application of the conjunctival/ amniotic membrane. We use the latest technique of performing surgery with fibrin glue.

Ocular immunology and uveitis clinic

Ocular immunology and uveitis clinic

At our immunology and uveitis clinic we treat patients with ocular inflammation and anterior uveitis. These patients are thoroughly evaluated in conjunction with physician for need for immunosuppression and accordingly to the underlying cause patient are given treatment.

Mumbai Eye Care is famous for its cornea services. We have the best cornea facility in the region. We perform a very high volume of cornea transplant making us the highest volume transplant center in the region.

At Mumbai Eye Care we perform all types of cornea transplants such as penetrating keratoplasty, Deep Anterior Lamellar Keratoplasty (DALK), Descemets stripping endothelial Keratoplasty (DSEK) and Descemet Membrane Endothelial Keratoplasty (DMEK).

FAQ's

Cornea is the outermost transparent portion of the eye.
Keratoconus Infections, Dystrophies Degenerations & Corneal scars.
Not all corneal pathologies need surgery. A number of pathologies can be treated medically. However, for treatment of corneal pathologies that are not treatable with medicines, a surgery may be required. Most common corneal surgery is penetrating keratoplasty (corneal transplant).
Cornea transplant is a procedure where the diseased cornea is removed and is replaced with a donor cornea that is collected from a healthy donor after death.
A patient who requires corneal transplantation needs to register in the eye bank for cornea. When a suitable cornea is available for the patient, eye bank and the hospital will coordinate for the transplantation to be performed. The surgery is done usually under local anesthesia, for children however, general anesthesia is preferred. For full thickness corneal transplant- a round trephine is made in the cornea and similar round full thickness donor cornea is sutured to the host. For partial thickness transplant- DSEK, the donor cornea is dissected either using an automated machine called microkeratome or manually. The donor lenticule is inserted in the eye of the patient and is attached to the host using air. This procedure does not require sutures to attach the graft. Deep anterior lamellar keratplasty- in this only the anterior layers of the cornea are replaced by donor cornea. Keratoprosthesis-Here a special device called keratoprosthesis is placed in the eye. This has a central cylinder that passes through the center of the donor cornea.
After corneal transplant patient needs to use drops for a long time. These include antibiotics for a few days, steroids in tapering doses for a few months and lubricating drops.

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