How Much Does A Cornea Transplant Cost?

In India, each corneal transplant costs between $1500 and $1800. The average cost of cornea transplant surgery in turkey is $6000. The cost may vary as per the individual case and the basis is the medical profile and a physical assessment by the specialist.

Cornea-transplant

The cornea is a transparent, dome-shaped layer that shields the eyes from harmful UV rays and other external contaminants including dust, bacteria, and other particles.

The cornea is in charge of concentrating light entering the eye to aid in the formation of clear vision. Three tissue layers and two thin membrane layers make up its structure.

Some medical problems can weaken the corneal tissue, causing it to become clouded or deformed. This disrupts normal vision by obstructing or interfering with the path of light entering through the cornea.

When medications or other forms of treatment are ineffective, the doctor may advise a corneal transplant to restore vision.

The dome-shaped, transparent surface of the eye is what is called the cornea, where light enters the eye. It significantly affects the eye’s capacity for sharp vision.

In a cornea transplant, donor corneal tissue is used to replace a portion of the patient’s own cornea. Sometimes this procedure is referred to as keratoplasty.

An eye transplant could:

  • regain vision
  • minimize discomfort
  • enhance the appearance of a cornea that is diseased or damaged.

The majority of corneal transplant procedures are successful. Nonetheless, there is a slight possibility of difficulties with corneal transplants, such as donor cornea rejection.

The objective of a Cornea Transplant

A cornea transplant is most often used to restore vision to a person with a damaged cornea. A cornea transplant also can relieve pain or other symptoms associated with cornea diseases.

A number of conditions can be treated with a cornea transplant, including

  • A cornea that bulges outward, is called keratoconus.
  • Fuchs dystrophy is a genetic condition.
  • Thinning or tearing of the cornea.
  • Cornea scarring is caused by infection or injury.
  • Swelling of the cornea.
  • Corneal ulcers not responding to medical treatment.
  • Complications caused by previous eye surgery.

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Cost of Corneal Transplant

The cost will vary based on several factors, including:

  • The severity of the condition
  • Type of procedure
  • Preparation of tissue grafts
  • Surgeon’s fee
  • The geographic area where it’s performed
  • Medications prescribed
  • The time period being analyzed

Corneal transplants are one of the most common tissue surgeries in the U.S. Billed charges can total $30,000 or more.

However, the cost may vary greatly. Due to this, it may be considered an ideal destination for such transplants.

  • In India, each corneal transplant costs between $1500 and $1800. The price for eye drops and other prescriptions will be charged separately, and it includes an examination and consultation.
  • The average cost of cornea transplant surgery in turkey is $6000. The cost may vary as per the individual case and the basis is the medical profile and a physical assessment by the specialist.
  • Affordable health packages for eye transplant surgery are available from Indian hospitals, and the highest possible standards of care are guaranteed.
  • India offers an affordable alternative to people from other countries due to its significantly cheaper cost of eye transplant surgery. If a foreign patient decides to have surgery in India, they might save between 50 and 70 percent on the overall cost of the procedure.

Types of Corneal Transplant Surgery

A cornea transplant removes either the entire thickness or the partial thickness of the diseased cornea and replaces it with healthy donor tissue.

Your cornea surgeon will decide which method to use. These types of operations include:

1. Penetrating Keratoplasty or Full-Thickness Cornea Transplantation

  • The most popular kind of corneal transplant is called penetrating keratoplasty.
  • The entire cornea’s layers are changed with this treatment.
    With a tiny circular blade, the surgeon will cut out the whole center of the patient’s cornea. A healthy donor cornea with the exact same shape is then used to replace it.
  • Patients who have severe corneal damage or considerable bulging and scarring are typically advised to have this surgery. It takes considerably longer to heal.

2. Deep Anterior Lamellar Keratoplasty (DALK)

  • Partial Thickness Corneal Transplant is another name for this procedure.
  • When the cornea’s middle and outer layers are harmed but the innermost layer is unharmed, this is used.
  • The thin outer and thick middle layers of the cornea will be lifted off during the surgery and separated from the inner layer by the injection of air by the surgeon.
  • The corneal tissue from a donor’s eye is used to restore these layers once they have been removed.
  • Those with keratoconus or corneal scarring that hasn’t penetrated the inner layers of the cornea are advised to do so.
  • Healing takes less time after this treatment than it would with a full-thickness transplant. Also, since the inner layer has not undergone surgery, the danger of infection is lower.

3. Endothelial Keratoplasty

The endothelium, the cornea’s innermost layer, is destroyed in patients who have this surgery. Descemet’s membrane, an extremely thin endothelial layer, is its name. Endothelial keratoplasty procedures come in two varieties:

  • Descemet stripping automated endothelial keratoplasty (DSAEK): The donor tissue is used to replace about one-third of the cornea.
  • Descemet membrane endothelial keratoplasty (DMEK): In this, a much thinner layer of donor tissue is used for transplant.

The damaged cells from Descemet’s membrane must be removed during both of these endothelial keratoplasty procedures. The damaged inner corneal layer is removed by the surgeon after making a little incision. To remove the damaged layer, fresh, healthy donor tissue is implanted.

A few stitches may be used by the doctor to seal the wound. The cornea is still mostly whole. After surgery, there is little risk of corneal cells being rejected and little recovery time.

  • DSEK/DSAEK surgery involves thicker donor tissue than DMEK surgery, making it simpler to transfer and position the donor tissue.
  • Due to the thin donor tissue, a DMEK procedure is more challenging and complicated. However, because the transplanted tissue is thinner, the recovery from this procedure is quicker.
  • The eye surgeon will advise a certain surgical type based on the patient’s corneal state.

After the transplant, doctors commonly prescribe medicines for healing. Post-transplant immunosuppressants are a must to prevent the body’s rejection of the new tissue. The combination of anti-rejection, anti-inflammatory, and other medications can be costly.

Qualifiers for a Cornea Transplant

Transplants can be a treatment option for people with damaged corneas from:

Keratoconus-
The clear outer lens, sometimes known as the “windscreen,” of the eye is shaped like a dome or a ball. The structure occasionally loses its ability to maintain its round shape and protrudes outward in the shape of a cone. The term for this is keratoconus.

Fuchs’ endothelial corneal dystrophy-
In Fuchs’ dystrophy, fluid builds up in the transparent layer (cornea) on the front of your eye, causing your cornea to swell and thicken. This can lead to glare, blurred or cloudy vision, and eye discomfort.
Fuchs’ dystrophy usually affects both eyes and can cause your vision to gradually worsen over the years.

Congenital hereditary endothelial dystrophy-
(CHED) is a form of corneal endothelial dystrophy that presents at birth. The cornea exhibits a variable degree of clouding: from a diffuse haze, “ground glass” appearance, with occasional focal grey spots.

Eye trauma-
Damage caused by a direct hit to the eye is referred to as ocular trauma. The surrounding area, including nearby tissue and bone structure, may also be affected in addition to the eye by the trauma.
There are numerous distinct forms of injuries, ranging in severity from minor wounds to life-threatening conditions.

Scarring or ulcers on the cornea-
A corneal scar can impair eyesight because it blocks or distorts light as it enters the eye. The most frequent causes of corneal scars are infection, injury, or disease; however, minor risks might result from treatments including an eyelash lift and laser eye surgery.

Peripheral ulcerative keratitis-
(PUK) is a category of inflammatory, damaging illnesses that affect the human peripheral cornea. PUK symptoms include eye pain, redness, photophobia, and impaired vision along with tell-tale evidence of crescent-shaped corneal injury.

Complications from prior surgery– from cataract surgery or other eye surgery.

After Corneal Transplantation

The eye will stay red, slightly inflamed, and sensitive to light for the first few days following surgery. To help manage the discomfort, the doctor will prescribe over-the-counter painkillers.

After the procedure, an eye patch will be applied over the eye to safeguard it. The eye patch must be worn while sleeping or taking a shower.

A direct impact on the eye could result from a number of different activities, all of which should be avoided.

For a few days following surgery, it is advised for patients who underwent endothelial transplants to lie on their backs with their faces up.

Usually, 24 to 48 hours after surgery, a follow-up appointment will be set up with the surgeon. The surgeon will take off the eye patch to see how well the eye is healing.

To aid with the recovery, eye drops, and ointments will be advised. Typically, these eye drops and other medications contain corticosteroids to lessen inflammation and swelling as well as antibiotics to prevent infection. Steroids also aid in avoiding rejection.

Depending on the type of stitches and the surgical procedure utilized, stitches could need to be removed. If stitches do need to be taken out, it can take several months.

To help safeguard your eyes, your surgeon may advise you to wear glasses or other types of protective eyewear for a while. You shouldn’t rub or press on your eyes while you’re healing. Rubs have the potential to harm and prevent healing.

Immediately notify your eye doctor if you notice any issues. This may include the “RSVP” symptoms:

  • Redness
  • Sensitivity to light
  • Vision decreases
  • Pain

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Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

Risks

There are a few potential dangers and consequences associated with cornea transplant surgery, including:

Infection in the cornea layer or in the eye: Antimicrobial eye drops can help you prevent infection.

Pain: Pain may be a symptom that your body is rejecting the transplant, alongside:

  • distorted vision
  • sensitivity to light

Eye bleeding: Blood vessels in the eye break, which results in bleeding from the eyes.

Blood loss

Glaucoma: pressure build up inside the eye

Leakage of fluid from the cornea

Detachment of retina: This means the retina tissue lining the back of the eye is pulled away from the eye

Visual acuity problems: such as sharpness of the vision caused due to an irregular curve in the cornea shape

Detached corneal transplant: can occur in the case of endothelial transplant in which the transplant is held in place with an air bubble.

Rejection is one of the most worrisome side effects of a cornea transplant. When the body’s immune system perceives the given cornea as foreign and assaults the transplant, organ rejection follows the transplant.

To lower the possibility of rejection, the doctor will prescribe eye drops that must be administered for at least a year following the procedure.

Procedure

  • The eye will be cleaned and washed while the patient is under local anesthesia for the procedure.
  • The doctor will next make extremely precise cuts on the cornea in order to remove it while the eye is still. To accomplish this, a tiny microsurgical tool is placed on the cornea and precisely positioned to enable precise cuts and aid in the removal of corneal tissue.
  • The use of corneal scissors, which manually cut and remove the cornea, can also be used to do this.
  • After the corneal damage has been removed, the region is cleansed, and the new, healthy transplant tissue is then positioned there.
  • Sutures or stitches are used to hold the transplant in place, and they typically fall out within a few days.
  • Antibiotics are administered to the eye to treat the infection and a bandage is applied to cover the eye (for some time). The recovery period following the treatment often lasts several days.

The success of Corneal Transplants

  • Damage to the cornea — the clear protective covering of the eye — can cause vision loss. Whether the damage stems from injury, disease, or infection, it can be treated with a cornea transplant. This corrective surgery is known as keratoplasty or corneal graft. It removes the existing cornea and replaces it with another.
  • The success of an eye transplant will depend on factors such as the condition in which the surgery was performed and the patient’s overall health.
  • These surgeries almost never require hospitalization. 99% of them take place in an ambulatory care facility or on an outpatient basis. And the success rate is high. Post-transplant, an estimated 80% to 90% of patients report clear corneas after 1 year.
  • One of the most popular and effective transplant procedures is the transplantation of the cornea. In the first year, they had a very high patient success rate. Yet, recuperation can be difficult and time-consuming. To avoid tissue rejection, you’ll likely require immunosuppressant medications for the rest of your life.

Vision Correction After Surgery

The vision may initially be worse than it was prior to surgery. The replacement cornea needs time to acclimatize to the eye. The process of improving eye vision may take several months.

The cornea’s outer layer may take several weeks to many months to heal after surgery. The eye doctor will make modifications that can enhance overall eyesight once it has healed, such as:

Correcting unevenness in your cornea:
The cornea may become uneven due to the stitches holding the donor cornea in place on one’s eye. Astigmatism may result from this uneven surface. Astigmatism might cause hazy vision. Your eye doctor may remove some stitches to treat astigmatism.

Correcting vision problems:
Nearsightedness and farsightedness are examples of refractive defects that can be fixed. Your eye doctor might advise wearing glasses, contacts, or even laser eye surgery in some circumstances.

Dr. Surbhi Suden

Verified By Dr. Surbhi Suden

Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.

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Dr. Surbhi Suden

Verified By Dr. Surbhi Suden

Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.
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