The cornea is the clear outer covering of the front part of the eye. The main functions of the cornea are: 1. to help focus incoming light on the retina 2. to protect the inside contents of the eye. The cornea may be harmed in many ways including infection, trauma, genetic disorders, dryness and metabolic problems. The result of this harm is frequently scarring and new blood vessel growth (neovascularization). If the scarring is significant and centrally located, the clarity of the cornea may be compromised resulting in decreased vision (corneal blindness). Historically, the surgical approach used to correct this problem has been corneal transplantation using human donor tissue. Although highly successful in most cases, visual rehabilitation may be limited by rejection of the donor tissue. Eyes with extensive pre-surgical neovascularization are particularly prone to rejection. If a donor cornea is rejected, it is likely that subsequent grafts with human tissue will also be rejected. Given this, some unfortunate patients confronted a future of blindness with no hope of beneficial surgical intervention. Recently, synthetic donor transplant material has been made available. The benefit of this material is that it is not susceptible to rejection (destruction) by the recipient of the transplant.
I would like to introduce you to Mr. John Doe. Mr. Doe has not been able to see for 30 years due to corneal blindness. Prior corneal transplants had not been successful due to rejection. Given a strong desire to see again, Mr. agreed to a synthetic corneal transplant. He underwent successful surgery on his left eye. This was the first of this type of eye surgery ever performed in Nevada! The following day, he saw the face of his care giver for the very first time in 30 years. Words can not capture the emotions of this moment. The following are pictures of him before and after surgery.


