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Ocular surface reconstruction (OSR) is a specialised surgical and medical approach designed to restore your eye's integrity and function compromised by severe ocular surface diseases (OSD). This could be due to structural damage from chemical burns or conditions like Stevens-Johnson syndrome and limbal stem cell deficiency. At Pristyn Care, our skilled ophthalmologists use various techniques ranging from tissue grafts, and amniotic membrane transplantation to advances in stem cell therapy, all aimed at improving your vision and quality of life. Book an appointment with us today to explore the possibilities of recovery through ocular surface reconstruction.
Ocular surface reconstruction (OSR) is a specialised surgical and medical approach designed to ... Read More
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Ocular surface reconstruction is a medical and surgical approach designed to treat severe ocular surface diseases (OSD), including structural damages caused by chemical burns, Stevens-Johnson syndrome, ocular cicatricial pemphigoid, and limbal stem cell deficiency. The goal of ocular surface reconstruction is to restore the normal function and integrity of the eye’s surface. This procedure involves multiple techniques that aim at repairing or replacing the damaged tissues on the cornea and conjunctiva, aiming to improve vision and restore normal ocular function. It is typically performed by an ophthalmologist in an operation theatre (OT) setting. Although the procedure is not without risks, ocular surface reconstruction’s success rate has proven quite high.
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The ocular surface reconstruction technique used may vary depending on the severity of OSD. There are several types of ocular surface reconstruction procedures:
Prosthetic Replacement of the Ocular Surface Ecosystem (PROSE): A unique kind of scleral lens that offers an artificial surface for patients with severe ocular surface disease.
Before embarking on ocular surface reconstruction, a meticulous diagnosis of corneal scarring is essential. This diagnosis involves several clinical evaluations. These could include:
Corneal Topography: This advanced imaging technique maps the surface curvature of the cornea, aiding in identifying any distortions caused by scarring.
The ocular surface reconstruction procedure aims at restoring the structure and function of the ocular surface. The process involves several steps:
Long-term Management: Depending on the severity of the initial condition and the patient’s response to treatment, more surgeries or interventions may be necessary.
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Ocular surface reconstruction is typically recommended by an ophthalmologist based on a patient’s symptoms, visual impairment, and the impact on their quality of life. While each case is unique, certain criteria decide if an individual is a suitable candidate for this surgical procedure:
Patient’s Health: The overall health of the patient plays a crucial role in deciding their suitability for this procedure. The patient should be in a physical condition that allows them to withstand the rigours of surgery and post-operative recovery.
Ocular surface reconstruction is a lifeline for people suffering from severe eye surface disorders. This treatment brings back normalcy to the ocular surface, making a significant improvement in patients’ quality of life. Here are some key benefits:
Improved Ocular Health: The procedure can restore normal tear film function and reduce inflammation, leading to better overall eye health.
As with any surgical procedure, preparation is key for ocular surface reconstruction. Here are some crucial steps to get ready for the operation:
Surgical Consent: An informative discussion around risks, benefits, and alternatives with your doctor will help you make informed consent for the procedure.
After undergoing ocular surface reconstruction, post-operative care is crucial for a smooth recovery. Here are some tips to speed up recovery and ensure minimal complications:
Like all surgical procedures, ocular surface reconstruction carries certain risks that patients need to be aware of. Here are some potential complications:
Persistent Epithelial Defects: Occasionally, the ocular surface does not heal properly resulting in ongoing issues with epithelial integrity.
The successful outcome of ocular surface reconstruction varies greatly based on the individual patient’s condition, the extent of the damage to the eye surface and the surgeon’s expertise. However, in general, studies have shown that the success rate of this procedure is quite promising, with many patients regaining significant vision.
Thorough diagnosis and assessment are vital before undertaking ocular surface reconstruction. This typically involves a comprehensive eye exam involving visual acuity test, slit lamp examination, tear production and quality test, corneal topography and biopsy if required. A detailed patient history is also taken to understand any underlying conditions.
While the procedure aims to significantly improve your vision, you may still need to wear glasses or contact lenses for optimal visual clarity. Your doctor will assess your vision post-operation and advise accordingly.
Recovery from ocular surface reconstruction often varies depending on the patient’s unique circumstances including their health status and the complexity of the procedure performed. Generally, patients may take several weeks to a few months to fully recover.
Patients might experience some symptoms such as mild to moderate discomfort, blurring or fluctuations in vision during the initial stages of recovery after ocular surface reconstruction. It is important to follow all your doctor’s post-operative instructions and attend all follow-up appointments to ensure a smooth recovery.
Yes, in certain cases where initial ocular surface reconstruction doesn’t yield desired results or if additional damage occurs, the procedure can be repeated. However, this decision is made after a thorough assessment by your doctor.
Ocular surface reconstruction has been successful in treating severe eye injuries, including corneal burns and severe dry eye syndrome. However, the success largely depends on the extent of the injury and the overall health of the patient.
Yes, alternatives to ocular surface reconstruction exist and are selected based on a patient’s unique circumstances and condition. These could include medications to manage symptoms, specialist contact lenses, or minor procedures to improve tear function. Your eye doctor is the best person to guide you on the most suitable course of action.
A diagnosis for ocular surface reconstruction involves a comprehensive eye examination which may include measuring visual acuity, checking for inflammation or damage to the eye surface, and possibly imaging tests such as OCT (Optical Coherence Tomography). Your doctor may also take into consideration your medical history and symptoms before reaching a decision.
Following your doctor’s pre-operative and post-operative instructions, maintaining your overall health, staying well-hydrated, having a balanced diet and avoiding eye strain could potentially improve your chances of successful ocular surface reconstruction.
