Graft number 2

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gsward
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Keratoconus: Yes, I have KC
Vision: Graft(s) and contact lenses

Graft number 2

Postby gsward » Wed 22 Sep 2021 8:09 am

I had my first graft in January 2018 and since then things have really progressed as well as I hoped. Partially as a consequence of appointments being quite spread out since then due to Covid limitations and my vision as has been so good (I can read unaided and only need a minor prescription to drive), my surgeon has been reluctant to remove many sutures as it can change the tension and lead to astigmatism. Last week three sutures were removed, but I still have 12 or 14 remaining.

Focus (apologies for the pun) is now on the other eye. Vision with that eye has never been so good having had my first operation on it at age of two for a squint. It now has scarring from KC and there is evidence of an early cataract.
I had some interesting conversations last week. The view in the contact lens team was to fix the cataract and stick with a scleral lens to correct the vision as good as they can. However, when I discussed the options with the corneal surgeon his view was my cataract is far less of a problem than the cornea scarring and the priority should be to fix the cornea which should give a more noticeable improvement in vision.

Considering all the options the plan for mid-November is to replace my cornea and sort the cataract at the same time if all goes well on the day. I came to this conclusion as with my other eye I had to have a cataract operation some months after the graft which is not ideal for the long term life of the graft and two cycles of recovery.

Even though it has been around for a long time I still found our "When to go for a graft" article really useful. 

I hope to update in a month or so on how things work out.

Graham

kieran19685
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Re: Graft number 2

Postby kieran19685 » Wed 22 Sep 2021 11:38 am

How much of an improvement did you get after the 1st graft ?

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gsward
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Keratoconus: Yes, I have KC
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Re: Graft number 2

Postby gsward » Wed 22 Sep 2021 12:25 pm

6/18 to 6/6 but the clarity and colour definition was much improved too.

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Re: Graft number 2

Postby Green » Fri 24 Sep 2021 9:56 am

I really hope this works out OK Graham and I'd very much like to know how you get on. I'm awaiting a combined DMEK for PK failure & cataract op


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