What is a Corneal Transplant for Keratoconus and Its Cost?

A Clearer Tomorrow: Understanding Corneal Transplant for Keratoconus and Its Cost in India

Keratoconus is a progressive eye condition which distorts vision and cannot be corrected with glasses or contact lenses. Reported prevalence of Keratoconus in India varies by region and diagnostic criteria, with some studies estimating rates between 0.9% and 2.3% in select populations. In such cases, a corneal transplant is considered when other treatments like corneal cross-linking or specialty contact lenses are no longer effective in managing advanced keratoconus.

It is a surgical procedure where a damaged or diseased cornea is replaced with healthy donor tissue to restore vision.

Cost of Corneal Transplant in Different Cities of India

Here is an overview of the approximate cost range of a corneal transplant for Keratoconus in different Indian cities:

Disclaimer: These prices may vary depending on hospital type, location, transplant type, and post-operative care.

Types of Corneal Transplant and Their Cost

Understanding the different types of corneal transplant procedures can help patients make informed choices, not just medically but also financially. Here is an overview of the numerous common procedures, along with their approximate costs in India:

1. Penetrating Keratoplasty (PK)

A full-thickness transplant is where all layers of the cornea are replaced with a healthy donor. Typically used in severe Keratoconus cases. This procedure typically costs between ₹60,000 and ₹1,20,000 in India, depending on the hospital and city.

2. Deep Anterior Lamellar Keratoplasty (DALK)

A partial-thickness transplant where only the front layers of the cornea are replaced, preserving the inner endothelium. This is often preferred for Keratoconus as it lowers the risk of rejection. This procedure costs around Rs. 55,000.

3. Descemet’s Membrane Endothelial Keratoplasty (DMEK)

DMEK is a more refined version of DSEK. It targets the innermost layer of the cornea, which allows improved visual outcomes and quicker recovery. However, it requires high surgical precision, and the cost is approximately Rs. 60,000.

4. Descemet’s Stripping Endothelial Keratoplasty (DSEK)

DSEK is a partial-thickness transplant where only the damaged innermost layer is replaced through a small incision. This procedure preserves the outer layers of the cornea, which offers faster healing and reduced risk of rejection. The cost of this procedure is around Rs. 60,000.

5. Artificial Cornea Transplant (Keratoprosthesis)

For patients who are not suitable for traditional corneal transplants, an artificial cornea may be used. This synthetic implant is typically reserved for complex cases with a high risk of graft failure. While effective, it is a more expensive option due to the advanced materials and technology involved, cost between ₹1,50,000 and ₹2,50,000 in India, depending on the device and hospital.

6. Superficial Anterior Lamellar Keratoplasty (SALK)

In SALK, only the outermost layers of the cornea are replaced. It is commonly used for superficial scarring or trauma. The complexity of the surgery is low, and the recovery time is generally quicker. The estimated cost of this procedure is Rs. 55,000 in India.

Benefits of Corneal Transplant in Keratoconus

Here are several benefits of a corneal transplant in Keratoconus:

• Restored vision: Most patients regain significant visual clarity within a few months.
• Improved quality of life: Enhanced ability to perform daily tasks, including reading and driving.
• Long-lasting results: Donor corneas can last for decades if the transplant heals successfully.

A corneal transplant offers a new way of sight for those suffering from Keratoconus. Although it is a surgical procedure with certain risks, it remains one of the most successful and commonly performed transplants worldwide.

If you or someone you know is struggling with progressive vision loss due to Keratoconus, consulting an ophthalmologist about corneal transplant options could be the first step toward clearer vision and a better life.