השתלת קרנית תחת הרפס עם כלי דם - פרופ' אבי סלומון

השתלת קרנית תחת הרפס עם כלי דם04/06/2017

האם פותחה היום טכנולוגיה להשתלה המתמודדת עם כלי דם שהתפתחו לתוך הקרנית כתוצאה מהתקף הרפס?
לפני חמש עשרה שנים פרופסור לעיניים אמרה לי שהשתלת קרנית היא בעייתית כאשר כלי דם נמצאים בקרנית.
התקף ההרפס האחרון שחוויתי בקרנית היה לפני 18 שנה הוא השאיר את הצלקת שפגעה לי קשה בראייה. היום אני בן ארבעים וחמש. הסיבה היחידה שבגללה אני שוקל השתלה היא כי הראייה נפגעה וכתוצאה מכך העין עצלה ומתפתחת פזילה עדינה. אין פגם אסתטי נראה לעין.

יניב

שלום יניב,

השתלת קרנית לאחר פגיעה בעבר מהרפס היא השתלה בסיכון גבוה לחזרת הרפס בשתל. כדי למנוע זאת יש להתחיל בטיפול סיסטמי נגד הרפס לפני הניתוח, ולהתמיד בו לפחות למשך שנה לאחר ההשתלה. במקביל ניתן לתת טיפול סיסטמי נוגד דחייה בתרופות כגון ציקלוספורין A או טקרולימוס, כדי לשפר את סיכויי השרידות של השתל. ההחלטה על עצם ביצוע ההשתלה תלוייה בהערכת פוטנציאל העין לראייה טובה יותר לאחר הניתוח, נושא שיש להעריך אותו בזהירות בעזרת בדיקות שונות אותן יזמין הרופא המנתח כחלק מההערכה הקדם ניתוחית.

בברכה,

פרופ' אבי סלומון
רופא עיניים ומומחה לקרנית

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שם (חובה, אפשר בדוי)

אימייל (חובה, לא יוצג באתר)

נושא השאלה (חובה)

השאלה (חובה)

קראתי והסכמתי לתנאי השימוש

שאלות גולשים

לייעוץ והכוונה עם פרופסור אבי סלומון

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