Corneal Transplant (Partial Thickness): What to Expect at Home

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Your Recovery

Anatomy of the eye

After your partial thickness corneal transplant (called DSAEK), you will need to lie face up looking at the ceiling, except for when you need to eat or go to the washroom. You will need to do this for about 48 hours. After that, you will be able to move around normally. After the surgery, you will also need to wear an eye shield overnight. Then you will need to wear a clear eye shield or glasses to protect your eye until it has healed.

Your eye may feel irritated or scratchy for a few days after surgery. But it's important not to rub your eye. Rubbing your eye could damage it. Your vision may be blurry for a period of time after surgery. For some people, it may take 6 to 12 weeks to get the full benefits of surgery and to see as clearly as possible.

Your doctor will give you eyedrops to help your eye heal and prevent your body from rejecting the donor tissue. Use the drops exactly as directed. You will need to see your doctor often to have your vision checked.

You will probably be able to return to work or your normal routine in about 1 to 2 weeks after surgery. But your vision will still be blurry. You will need to avoid heavy lifting for about 4 weeks, or until your doctor says it is okay.

This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to get better as quickly as possible.

How can you care for yourself at home?

Activity

  • Ask your doctor when it is okay to drive.
  • Wear your eye shield for as long as your doctor recommends.
  • You can shower or wash your hair the day after surgery. Keep water, soap, shampoo, hair spray or hair dyes, and shaving lotion out of your eye.
  • Do not rub or put pressure on your eye.
  • Do not wear eye makeup for 2 weeks. You may also want to avoid face cream or lotion.
  • Avoid heavy lifting for about 4 weeks, or until your doctor says it is okay.
  • Avoid swimming, hot tubs, gardening, and dusting for 2 to 4 weeks.

Medicines

  • Your doctor will tell you if and when you can restart your medicines. He or she will also give you instructions about taking any new medicines.
  • If you take blood thinners, such as warfarin (Coumadin), clopidogrel (Plavix), or aspirin, be sure to talk to your doctor. He or she will tell you if and when to start taking those medicines again. Make sure that you understand exactly what your doctor wants you to do.
  • Follow your doctor's instructions for when to use your eyedrops. Always wash your hands before you put drops in. To put in eyedrops:
    • Tilt your head back, and pull your lower eyelid down with one finger.
    • Drop or squirt the medicine inside the lower lid.
    • Close your eye for 30 to 60 seconds to let the drops or ointment move around.
    • Do not touch the ointment or dropper tip to your eyelashes or any other surface.
  • If the doctor gave you a prescription medicine for pain, take it as prescribed.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

When should you call for help?

Call your doctor or nurse call line now or seek immediate medical care if:

  • You have new eye pain.
  • You have new redness in your eye or pus draining from your eye.
  • You have changes in your vision, including flashes or floaters or worsening vision.
  • Light hurts your eyes.

Watch closely for changes in your health, and be sure to contact your doctor or nurse call line if:

  • Your vision does not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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Current as of: May 23, 2016