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Penetrating Keratoplasty (PK)

Full thickness graft


This is becoming performed less and less often with the advance of new techniques and technology.


This procedure involves removal of the whole cornea (all 5 layers) and replacement with a full thickness cornea from a donor. The cornea is stitched into place using stitches of 20 microns (40% the thickness of Human Hair!).

Stitches are typically removed at one year. It can also take about this time frame for vision to be restored to a satisfactory level. Often patients who have had a penetrating keratoplasty require glasses or contact lenses for visual correction.

Advantages

  Good optical clarity

Disadvantages

  Risk of open eye surgery - haemorrhage, infection
  Risk of graft rejection - rejection to endothelial (innermost layer), which can lead to loss of vision
  Astigmatism
  Stitch related problems

 

Penetrating or full

thickness graft performed in

1999 for Keratoconus

 
 Read more about Intralase EK 

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PK
Advantages
   
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