It should be noted that corneal transplantation differs from other surgeries and therefore physician's orders are different from other eye surgeries. Also, compared to other eye surgeries number of visits after corneal transplantation is much more and its sutures are removed much later.
Visits after corneal transplantation
The firs visit should be in the first day after surgery. For the next visits follow your physician's orders.
Eye protection after surgery
As your physician will tell you, protect your eye with a perforated eye shield, especially when sleeping, for the first 3-4 weeks after surgery. In order to protect your eye from excessive glare or sunlight, wear sunglasses during all daylight hours. In most surgeries, your physician will dress your eye for 24 hours which it may get longer if needed.
A few days after surgery you may be able to do your normal day activity such as walking, watching TV, etc. Avoid strenuous activities like swimming, aerobic exercises, heavy lifting, gardening or martial arts; for at least 2 month.
Avoid sleeping on your stomach and bending your head down.
In the first 3-5 days after surgery avoid washing your eyes. You may use a moistened towel to clean your eyes.
You can shave your face but if you are a woman do not use makeup for 4-6 weeks. It is recommended that you don’t use makeup during the time you are putting drops in your eyes.
Bath and shower as normal, but be careful not to get water in your eye for at least a month. Consult your physician for the first possible shower.
Do not drive until your Physician tells you.
There is no limitation in diet, so you can continue your normal diet. For those who suffer from diabetes and hypertension it is necessary to follow their recommended diets. To prevent constipation try to have a diet containing adequate amounts of fiber and liquids.
If you have a job that does not involve physical strain, you can return to work two to three weeks after surgery. If your job involves manual labor or any physical strain, you should wait for three to four months. In this case your physician opinion is necessary.
Sign and symptoms
These symptoms are normal: slight redness, slight runny nose, blurred vision, foreign body sensation and upper eyelid drooping. These symptoms heal gradually after 4-6 weeks. The process of visual improvement takes even longer.
You should seek medical treatment as soon as possible if you have any of the following symptoms: Redness of the eye, pain and discomfort of the eye, sudden drop in vision, increased tearing or any purulent discharge. Please note that the risk of transplant rejection exists up to several months after surgery, so in case of the slightest problem, see your physician. If you were not able to contact your physician please contact the Emergency or International patient department.
Prescribed eye drops after corneal transplantation
Usually after corneal transplantation, 4 type of drops are prescribed for patients:
· Corticosteroids; such as: Betamethasone, Dexamethasone, Fluorometholone or Prednisolone.
· Antibiotics; such as: Chloramphenicol, Sulfacetamide or Ciprofloxacin
· Drops to control eye pressure such as Timolol, Brimonidine, Dorzolamide and etc.
· Artificial tears
Ask your physician about the frequency of using prescribed drops. Do not forget to bring all your medication the next time you are visited.
Prescribed drops are only to be used for the eye that has been operated, do not use it in the other eye!
It is not needed to use these drops when asleep at night (12 pm and 6 am).
In some cases, after surgery, your physician may bandage your eye. In this case you don’t need to take drops until the bandage is removed by your physicians order.
Your physician may prescribe Acetazolamide (tab) to control eye pressure. Ask him/her about the time and frequency of usage.
After surgery, you can keep taking other medicines you were taking before. Talk to your physician about Aspirin and Anticoagulant Medicines.
In case of mild pain, you can take Acetaminophen (every 6 hours). Talk to your physician in case of severe pain.