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Post Info TOPIC: Patient Education: Graft Rejection


Phase Two

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Posts: 484
Date: Tue Jul 3 11:48 AM, 2007
Patient Education: Graft Rejection
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An Optician, with a growing interest in our struggle has asked for this Info. he has supplied to be posted here, so that to better inform Keratoconus patients about the issues effected us (all of us), where education and awareness can help to reduce these issues.

Others topics will be posted here over the coming days, that was also suppied to us, so watch this section for updates.

This one is of interest, the title of the next link is called:

Patient Education Vital In Reducing Risk Of Corneal Graft Rejection

Please discuss at your will with anyone and everyone who will listen!


-- Edited by QuintriX at 12:00, 2007-07-03

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Date: Tue Jul 3 11:59 AM, 2007
RE: Patitnt Education: Graft Rejection
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Hi QuintriX

Please could you tell me (if you know) what makes a patient high risk of rejection?

thanks

Pinklady x

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Phase Two

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Posts: 484
Date: Tue Jul 3 12:15 PM, 2007
RE: Patient Education: Graft Rejection
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Pink Lady,

Its in the article above if you care to read through it... I would say that looking at the stats the risk level can be seen and how it can be reduced ...did your Dr not explain to you or give you the low down on this, which you are not sure off?

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Date: Tue Jul 3 12:31 PM, 2007
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Hi again

Im not that good with these computers i enlarged it to full screen but still cant read it.

I was due to have a DALK but 2 hrs before my op i was given the option to have a PK and told that they didnt have alot of data reasearch on the DALK and that my vision would be better after a PK. Info given to me was 96% succsess rate for a PK, im now 4 weeks post op (pk) 
 
Pinklady

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Phase Two

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Posts: 484
Date: Tue Jul 3 4:21 PM, 2007
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Pink Lady,

Caught early any rejection can be reversed that is the message you must "take home" with you. The first few years after a graft be "on the look out" for any signs of this.

PK's do give better vision, success is in the "eye of the beholder", with Dalks, laser correction is more "plain sailing", if in the eventuality anything happens to the Dalk graft sometime in the future, it can be easily "lifted out" and then another Dalk done (and even laser again). It is not unheard of laser on top of a PK graft, although re PK grafting is more challaging and needs careful consideration.

With Dalk there is no Endo. Cell rejection as they are not replaced. Other than that if the Dalk rejects its of the mild kind and also the amount this occurs is much more smaller, and in studies I have read they was able to reverse the rejection fully in all the cases, as it was very easy to do due to the rejection being mild.

Risks of rejection is a smaller percentage when looking at the whole picture, rejection does not mean the graft has or will fall apart, or the graft has failed... it must be caught early... the life of a graft could very well be a long one, some say if your doner was young, the graft will last longer. However hopefully soon more info. will be give early on to the patient on the details so they have the time for all of it to "sink in" and not feel rushed.

R S V P is an easy way to remember the symptoms of corneal transplant rejection.

Redness: the eye becomes very red.

Sensitivity: the eye becomes very light sensitive.

Vision Loss: the vision in that eye seems to have decreased suddenly.

Pain: the eye becomes very painful.

All in all I wish you happy eye days, and there is no reason why they should not be that way ...here on in... as long as you and your loved ones know what the drill is, and get your self down to an eye hospital as soon as its possible... if you have any doubts at all or concerns.

Every good wish

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