Glenpoint Centre East 300 Frank W. Burr Blvd. Teaneck, New Jersey, 07666

201-692-9434

LASER ASSISTED CORNEAL TRANSPLANT (IEK)

LASER ASSISTED CORNEAL TRANSPLANT TECHNIQUES - INTRALASE ENABLED KERATOPLASTY (IEK) / FEMTOSECOND LASER ASSISTED KERATOPLASTY (FLAK)

At The CLEI Center for Keratoconus, we were amongst the first in the nation to perform laser assisted corneal transplants.  In these laser procedures, sometimes called Intralase Enabled Keratoplasty, or IEK, also known as Femtosecond Laser Assisted Keratoplasty, or FLAK, both full thickness (PK) and anterior lamellar transplants (DALK) can be assisted with use of the Intralase femtosecond laser.  Rather than preparing the corneal transplant graft with a traditional trephine (a specialized circular blade) as in standard transplantation techniques, both the patient and recipient corneas are fashioned with the laser.  Using the laser, the cornea can be prepared with complex patterns which can be customized to your particular situation.  For instance, we frequently use a "mushroom" shaped graft, especially in patients with keratoconus.  The eye bank prepares the tissue using a similarlaser per our customized laser specifications.  We find that the laser more accurately prepares the tissue and better matches the recipient to the donor tissue shape.  By creating an optimum fit with specialized edge shapes, we hope that the result will  be a faster and stronger healing of the transplant, quicker recovery of vision, and, ultimately, a better optical and visual quality of the tranplanted cornea.  In addition, this may allow us to remove surtures early in patients who are candidates for further laser vision correction.  Dr. Hersh can determine if a laser assisted corneal transplant would be beneficial to you. 

 

Laser-Prepared Mushroom Corneal Tranplant

Laser assisted corneal transplants are performed in two stages.  In the first, the patient undergoes the laser procedure on site at the CLEI Center for Keratoconus.  This procedure is done under anesthetic drops and takes approximately 30 minutes.  The patient is then transported to our ambulatory surgery center, where an anesthesiologist will prepare you for the
conclusion of the transplant procedure.  The procedure usually takes approximately one hour and is performed with general or local anesthesia on an outpatient basis.  After the surgery, you will go home with your eye covered by a patch and eye shield.  The following morning, you will be seen by Dr. Hersh for a post-operative evaluation and your postoperative antibiotic and anti-inflammatory drops will be started.