עכירות לאחר השתלה - פרופ' אבי סלומון

עכירות לאחר השתלה01/04/2018

שלום פרופסור,
הנני בן 32 לאחר ניתוח DMEK ולאחר טיפולילייזר יאג,אני סובל מגלאוקומה בנוסף, לאחר יותר משנה לאחר הניתוח אני רואה 6/18 עם חריר, הראייה לא יציבה לטעמי, אני מסתנוור בשמש עקס עכירות בקרנית, נאמר לי על ידי המנתח שהקרנית יחסית שקופה אך לא לגמרי והשתלה מלאה של קרנית לא מומלצת, האם ישנה דרך לשפר את הראייה לא בדרך ניתוחית?

אם יש עכירות משמעותית בקרנית - שלום יותם,

השתלת קרנית בשיטת DMEK מאפשרת טיפול בבצקת בקרנית ע"י החלפת שכבת תאי האנדותל, הנמצאים בחלק הפנימי של הקרנית. אם יש עכירויות בסטרומה של הקרנית (גוף הקרנית) - הרי שרק השתלת קרנית מלאה תעזור. מצד שני יש להשתלת קרנית מלאה בעיות אחרות, כגון אסטיגמציה (בגלל התפרים ובגלל שולי הפצע של השתל), השפעה על מבנה הזווית (שעלולה להחסם חלקית בגלל הדבקויות ובכך להחמיר את הגלאוקומה) ובעיות רבות אחרות. במקרה הזה יש לשקול את התועלת בבשתלת קרנית מלאה (PKP) מול הבעיות האפשריות - ולהחליט החלטה בהתאם.

אם יש עכירות משמעותית בקרנית, אין דרך לשיפור הראייה שלא באמצעות ניתוח.

בברכה,

פרופ' אבי סלומון
רופא עיניים ומומחה לקרנית

יש לכם שאלה? כתבו לנו ותקבלו תשובה אישית בדוא"ל מהרופא

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

השאירו פרטים ונחזור אליכם

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