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Scleral Lenses For Post Corneal Graft v2

Scleral Lenses For Post Corneal Graft

Patients may be concerned that achieving a clear and comfortable vision will be nearly impossible following corneal transplant surgery. Although corneal transplants have a high success rate, they do not entirely cure the eye of disease. Patients will certainly notice dramatic improvements, but their vision will still need to be corrected.

It can take more than a year for the eye to recover from a corneal transplant, as it needs time to adapt to the new cornea. Because this adjustment is unpredictable, nearsightedness or astigmatism may develop. Even after complete recovery, prescription glasses or lenses may still be required. For this and other reasons (explained below), scleral lenses are the optimal choice for vision correction.

Here at Scleral Contacts Lens Center At Valley Vision Optometry, we aim to provide the best possible vision for our patients who’ve had a corneal transplant. If you’ve undergone this procedure, speak with Dr. Shaun Golemba to determine whether scleral contact lenses are the best choice for you.

Understanding Corneal Transplants

There are two common types of corneal transplants:

Penetrating keratoplasty, also called “full-thickness corneal transplant”, is when the full thickness of the cornea (the clear front surface of the eye) is replaced with healthy donor tissue.

Endothelial keratoplasty replaces only the diseased corneal tissue, leaving healthy tissue behind.

woried old manWhy Would Someone Need a Corneal Transplant?

A corneal transplant is generally recommended in the following cases:

  • For those with vision problems caused by the thinning of the cornea (generally due to keratoconus) and only after less invasive treatments have been proven ineffective
  • Scarred cornea caused by severe injuries or infections
  • Vision loss caused by cloudiness of the cornea, typically due to Fuchs dystrophy

Scleral Lenses & Post-Corneal Transplant Surgery

Corneal transplants don’t cure irregular corneas, as the transplant doesn’t fully adapt to the eye. Some eye doctors may recommend rigid gas permeable lenses (RGP’s), hybrid contact lenses, or scleral lenses for clear and comfortable vision.

Of all the options, scleral lenses are the optimal choice. The fully customized contact lens vaults entirely over the cornea without adding any pressure to it, while allowing the cornea to remain hydrated for ultimate healing and comfort. Furthermore, because they are larger in size than any other contact lens, they are less likely to shift and move around on the eyes, thus reducing the risk of irritation or abrasion.

We Fit Scleral Lenses and Other Specialty Contact Lenses

Getting fitted for scleral lenses after a corneal graft can be life-changing. It can allow you to comfortably and safely drive at night or resume playing a sport that you thought you’d have to give up.

If you’ve had a corneal transplant or plan to do so in the near future, know that clear and comfortable vision after the surgery is possible. Don’t miss out on incredible life experiences because of poor vision — call Scleral Contacts Lens Center At Valley Vision Optometry today.

Scleral Contacts Lens Center At Valley Vision Optometry serves patients from Vancouver Island, Lower Mainland, Okanagan, Kootenay’s, and throughout British Columbia.

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We are currently offering in-office care by appointment only.

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COVID-19 UPDATE

The following is a summary of the steps we have taken to protect your safety.

Physical Distancing Measures:

o Reducing density of people: We have adopted a schedule which will reduce the amount of patients in our facility at one time.

o We will have some of our team working from home operating a call centre and tele-medicine pre-screening.

o Spacing stickers have been placed on our floor.

Engineering controls:

o Forms have been digitized and will be emailed to patients in advance of the appointment to minimize contact.

o A “For Payment" button has been installed on our website, valleyvisionoptometry.ca for patients to be able to pay from home to minimize contact.

o Plexiglass barriers have been installed at all 3 Front Desk stations

o Our doors will remain locked during Phase 2, opening the door to let in scheduled patients only.

o A dropbox has been installed for patients to drop off glasses in need of repair.

o Contact lens sales are administered through our webstore.

Administrative controls:

o Cleaning protocols have been written. Staff training on these protocols has been scheduled.

o Clear rules are posted on our front door and throughout all of the stations in our office.

Personal protective equipment:

o Patients will be required to wear a mask upon entry to the office and throughout their time with us. Those who do not have a mask will be supplied a surgical mask upon entry.

Policies around sickness:

o Employees and patients with cold or flu symptoms will be required to stay home.

Frequent hand washing:

o Patients, Doctors, and our Team will be required to wash hands upon entry and exit in to the exam rooms.

o Eyewear Consultants will wear gloves when handling eyewear and performing adjustments.

We currently are operating a reduced schedule, so are triaging patients to ensure those with the highest needs are prioritized.

Sincerely,

Dr. Shaun Golemba

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We are open by appointment only. Our current hours are Monday to Friday, 8am – 4pm. Please call our office to schedule an appointment. Read about our safety protocols here.