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Talk to Eye Specialist on Eye Corneal Problem

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Asking For Self, Male 20, Lahore

Two years ago, my left eye was operated on. They had put oil in it, but the oil was not removed, which caused the corneal cells to die. Because of that, the cornea now appears white. What is the solution for this?

Member of Marham-Forum

Okay, I understand. It sounds like you're describing a situation where retained silicone oil after eye surgery has led to corneal endothelial cell damage, resulting in corneal edema and a cloudy or white appearance of the cornea. Here's a breakdown of potential solutions and considerations:

1. Silicone Oil Removal:
* The first step is to have the silicone oil removed, if it hasn't been already. Retained silicone oil can continue to damage the cornea over time. Consult with your ophthalmologist about the timing and feasibility of removing the oil.

2. Corneal Transplantation:
* Given that the corneal cells have died and the cornea appears white, a corneal transplant is likely the most effective solution. There are different types of corneal transplants:
* Penetrating Keratoplasty (PK): This involves replacing the entire cornea with a donor cornea.
* Descemet's Stripping Endothelial Keratoplasty (DSEK) or Descemet's Membrane Endothelial Keratoplasty (DMEK): These are partial-thickness transplants that replace only the damaged endothelial layer of the cornea. DMEK is often preferred because it has faster recovery and better visual outcomes.

3. Consult with a Corneal Specialist:
* It's crucial to consult with a corneal specialist who has experience in managing complications from previous eye surgeries and performing corneal transplants. They can evaluate the extent of the damage and recommend the most appropriate surgical approach.

4. Pre-Transplant Evaluation:
* A thorough evaluation will be necessary to assess your overall eye health and determine your suitability for a corneal transplant. This may include measuring corneal thickness, assessing intraocular pressure, and evaluating the health of the retina and optic nerve.

5. Post-Transplant Care:
* After a corneal transplant, you'll need to follow a strict regimen of eye drops to prevent rejection and infection. Regular follow-up appointments are essential to monitor the health of the transplanted cornea.

6. Prognosis:
* The prognosis for corneal transplantation is generally good, but it depends on various factors, including the overall health of your eye and your adherence to post-operative care.

In summary, your best course of action is to consult with a corneal specialist to discuss the possibility of corneal transplantation. They can provide a comprehensive evaluation and guide you through the process.


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