Cornea transplant surgery is also known as keratoplasty. It is a common surgery and has a good amount of success rate as well. Cornea transplant is required for people who have their corneal tissue damaged due to scarring or bruises. This affects the normal vision, which cannot be further corrected with the help of lens or medication. The cornea can swell thus resulting in distorted vision and it can grow painful, thus destroying the tissue gradually.
The following are some of the reasons why cornea replacement surgery may be required:
Cornea transplant surgery involves the replacement of the diseased cornea with a healthy cornea from a donor and it is performed commonly. However, there are some risks of rejection that would always be there. A corneal transplant is a surgery conducted to replace the cornea with a tissue retrieved from a donor. It is one of the most common types of transplants done. The cornea mainly comprises of five layers and it is not always necessary that all the layers are transplanted during the surgery.
In case of full thickness cornea transplant, all the 5 layers of the recipient are replaced with the healthy corneal layers of the donor. Lamellar cornea transplant includes only transplanting some of the layers of a donor’s cornea in the recipient patient’s corneal layers. The layers that are transplanted in this kind of surgery may include the deepest layer, which is known as the endothelium and this is generally known as the posterior lamellar cornea transplant. Some of the included procedures of this type of transplant include Descemet’s Stripping Automated
Endothelial Keratoplasty (DSAEK) or Descemet’s Membrane Endothelial Keratoplasty (DMEK). It may also have layers nearer to the surface included, which is referred as anterior lamellar cornea transplant. When only a portion of the cornea is diseased and not the entire cornea, then the lamellar transplants appears to be much more suitable compared to a full penetrating transplant.
Cornea transplant surgery is conducted on an outpatient basis, wherein the patient can leave the hospital on the same day of the surgery. In the pre-op or the waiting area, the patient is prepared for the surgery by giving medications, which would relax the patient.
A needle is attached to a tubing, which aids in delivering medications and fluids throughout the procedure to the vein of the patient. Electro leads are attached to the patient’s chest to have the performance of heart monitored at all stages. The above are some of the standard safety precautions.
Depending upon the condition of the patient, local or general anaesthesia may be administered before the surgery. Some of the determining factors can be age, length of the surgery, levels of anxiety of the patients, general health of the patient, and of course, the doctor’s choice. This should be discussed with the patient before the operation.
Once in the operating room, the patient’s eyelids are washed gently and carefully and then it is covered with plastic sterile drapes. Through a plastic tube, oxygen can be occasionally supplied somewhere close to the nose where the tube is placed. Most patients doze off during the procedure, while others may remain slightly conscious.
The instrument used to scrape off the part of the cornea is a circular cookie-like cutter instrument, which is called a trephine. It is employed to have the center of the diseased cornea removed. Next, a button-sized similar portion is cut from the cornea of the donor. With the help of nylon sutures, the tissue of the donor’s cornea is sewn in the recipient’s eye in the already cut section.
The sutures are employed in corneal transplant and they are composed of monofilament nylon and are very tiny, almost one-third the thickness of human hair. The patterns of suturing can be different, depending upon the choices of the surgeon and their training and also on the specific problem that is being addressed. In certain cases, 16 individual (interrupted) sutures can be used, while for others, continuous or running sutures can be used that closely resemble the hemstitch. A combination of both can be used and the results obtained are more or less similar.
With the conclusion of the surgery, a patch along with a shield is applied to the eye for protection. Now the patient is taken to the recovery room, wherein some of the parameters of the body are monitored and the patient is allowed to recover and get back to his or her senses before being discharged off.
The cornea has no blood supply, hence the healing of the procedure is slow. Sutures are kept for 3 to 12 months and if the vision is found to be really good, then they are kept in place. They do not cause any discomfort since they are buried but if they break, then their removal is required. At other times, the sutures can loosen. The removal of the sutures is a painless and simple procedure.
Immediately after a cornea transplant, the patients may experience pain, which can be relieved with medications such as Tylenol. The eye will remain patched until the healing of the epithelium is not completed. The surgeon checks immediately after the day of the surgery and advises whether it should be worn any longer or not.
Eye drops should be administered as prescribed and strenuous activities should be avoided for a few weeks. A pair of glass must be worn for a duration recommended by the surgeon. Watching the television does not cause any discomfort to the eyes. However, contact the surgeon if you experience discomfort in the eye or pain as soon as possible.
The cost of Cornea Transplant in Thailand starts from $5500. Healthcare Accreditation Institute, JCI are just some of the accreditations which top hospitals in Thailand hold where a Cornea Transplant is conducted.
Cornea Transplant package cost in Thailand has different inclusions and exclusions. The top hospitals for Cornea Transplant in Thailand covers all the expenses related to the pre-surgery investigations of the candidate. The comprehensive Cornea Transplant package cost includes the cost of investigations, surgery, medicines and consumables. There are many things that may increase the cost of Cornea Transplant in Thailand, including prolonged hospital stay and complications after the procedure.
While the speed of recovery may vary from patient to patient, they are still required to stay for about 21 days after discharge. This duration of stay is recommended to complete all the necessary follow-ups and control tests to ensure that the surgery was successful.
There are certain additional cost that the patient has to pay apart from the Cornea Transplant cost. The per day cost in this case may start from USD 50 per person.
The following are some of the best cities for Cornea Transplant in Thailand:
The patient has to spend about 1 days in the hospital after Cornea Transplant for proper recovery and to get clearance for discharge. This phase is important to ensure that the patient is recovering well and is clinically stable. During this time, several tests are performed before the patient is deemed suitable for discharge.
There are more than 2 hospitals that offer Cornea Transplant in Thailand. Such clinics have the required infrastructure and a dedicated unit where patients can be treated. Apart from good services, the hospitals are known to follow all standard and legal guidelines as dictated by the local medical affairs body or organization.
The strength of Thai healthcare organisations is that they are wealthy in terms of human resources, financial resources and technological resources. It is an amalgamation of Thai public and private healthcare systems The Institute of Hospital Quality Improvement and Accreditation (HQIA) awards Thai HA accreditation on the basis of standard and quality of healthcare in Thailand. This body also aims to bring a marked improvement in service delivery in Thai public and private hospitals.
The Thai healthcare system is based on the personal touch they provide to their patients and the adherence to providing excellent clinical care. Multispecialty hospitals translates into the option of having several medical and surgical specialties under one roof which gives a lot of choice to medical travelers. It is the presence of world renownded specialist doctors in the Thailand multispecialty hospitals which adds to the value these healthcare organisations bring to patients. The famous multispecialty hospitals in Thailand are:
Thailand draws a number of international medical travellers to its shores and this makes it an important health tourism destination. International patient services add value to your treatment experience in Thailand. You will get Interpreters, International medical coordinators, concierge services, embassy and airport transfer assistance and International insurance coordination in one place. Thai healthcare systems are known to give the entire specturm of treatment options, be it aesthetic procedures or tertiary care processes.
Thailand has always been considered to be a one of the top medical destinations in the world. Their doctors and surgeons are considered to be on par with the world's best medical specialists. The skills and experience of Thai doctors have long been equated with excellence. Whether it is providing quality care or investing in innovative techniques doctors in Thailand are doing it all. Doctors in Thailand have worked towards giving the gift of health to several international patients on a daily basis.
Once you have decided that you wish to come to Thailand for medical purposes, documents come into the picture. The documents are of different kinds such as travel related, treatment related and finances. The documents needed for your medical treatment in Thailand are as follows.:
Thailand is an attractive medical tourism destination. Low prices, excellent healthcare systems and numerous tourist attractions together ensure that remains one. There are several popular procedures in Thailand such as the ones mentioned below:
Any international travel mandates immunisations and vaccinations. Even medical travellers coming to Thailand must get protected from potential health hazards. We are outlining the vaccinations recommended by CDC and WHO. Yellow Fever, Japanese Encephalitis, Measles, Mumps and Rubella (MMR), TDAP (Tetanus, Diphtheria and Pertussis), Chickenpox, Shingles, Pneumonia, Influenza, Rabies, Meningitis, Polio, Hepatitis A, Hepatitis B, Typhoid and Cholera.
Healthcare infrastructure in Thailand is well equipped with the latest technological advancements. Your travel, transfer and accomodation needs are coordinated at the center for International patients at Thailand hospitals. Emergency services and integrated medical suppport services are available at Thailand hospitals. Thailand hospitals bring to you several facilities such as radiology services, operating theaters, Intensive care units, cardiac care units, diagnostic laboratory and pharmacies.
The tourist attractions in Thailand when seen in conjunction with the medical facilities ensure Thailand is seen as an important medical tourism destination. The treatment costs in many countries are much higher than the overall cost of treatment and holiday in Thailand. There are several wonderful medical tourism destinations in Thailand which are a reflection of Thailand;s natural beauty, culture and excellence of healthcare facilities. We can safely say that Phuket and Bangkok are the most attractive medical tourism destinations in Thailand.
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