Cataract surgery after corneal transplant can be suitable, but it needs very careful planning and experienced surgical care.
Factors supporting suitability
Once the graft is stable and clear, removing a visually significant cataract can improve quality of life. Special measurements help choose the most appropriate lens power.
- The timing usually waits until graft stitches are removed and vision has stabilised
- Topography and keratometry guide accurate lens calculations
- Advanced lens formulas are often used for irregular corneas
- Close monitoring before surgery confirms graft health
Extra risks and precautions
The transplanted cornea is more vulnerable than a natural one. Surgery aims to minimise trauma and protect graft survival.
- There is a higher risk of graft rejection or decompensation
- Extra anti-inflammatory and anti-rejection drops may be needed
- Patients should understand the possibility of further corneal treatment later
- Choosing an experienced corneal and cataract surgeon is vital
