Jun272025
Checklist for corneal transplant surgery preparation

Your Corneal Transplant Checklist: Do’s and Don’ts Before and After Surgery

A corneal transplant can dramatically improve your eyesight and restore daily function. However, successful outcomes depend on more than just the surgery itself. Have you considered what steps matter most before and after the procedure?

Understanding the Procedure

Your cornea is the clear outer layer of your eye that helps focus light. When it’s damaged or diseased, it can blur vision or cause severe discomfort. That’s when a transplant becomes necessary.

The most common type is Penetrating Keratoplasty (PK), where the full corneal thickness is replaced. Endothelial Keratoplasty (EK) targets only the innermost layer, which is useful in conditions like Fuchs’ dystrophy. You may also hear about advanced techniques like DALK and DMEK, which preserve more natural tissue.

Knowing the type of transplant planned helps manage your recovery expectations. Some procedures heal faster than others, with different risks involved. Always clarify this with your surgeon ahead of time.

Pre-Surgery Checklist: The Do’s

  • Begin with a comprehensive eye examination by your ophthalmologist. This ensures your eyes are healthy enough for surgery and sets a baseline for comparison. Bring your full medical history for accurate planning.
  • Next, discuss any current medications or supplements you're taking. Some drugs may increase bleeding risk or interfere with healing. Your doctor might adjust or pause them temporarily.
  • Arrange transportation to and from the surgical centre in advance. You won’t be able to drive yourself on the day of surgery. It’s safe if someone stays with you for at least 24 hours afterwards.
  • Maintain good hygiene, especially around your face and eyes. Wash your eyelids gently using doctor-approved products. Keeping the eye area clean reduces the risk of infection.
  • Confirm your pre-surgery instructions at least two days before. This may include fasting guidelines or when to stop using contact lenses. Follow them carefully for the best outcomes.

Pre-Surgery Checklist: The Don’ts

  • Avoid using contact lenses at least one to two weeks before surgery. They can change the shape of your cornea and affect surgical planning. Stick to glasses for the time being.
  • Never self-medicate with over-the-counter eye drops, pills, or home remedies. Even natural products can irritate the eye or react badly with anaesthesia. Always ask your doctor before using anything new.
  • Don’t rub your eyes or touch them unnecessarily. This can increase irritation or introduce bacteria. If you feel discomfort, consult your doctor for safe relief options.
  • Refrain from wearing makeup, lotion, or perfume on the day of surgery. These products may interfere with sterilisation or cause reactions. It’s best to come with a clean, bare face.
  • Avoid alcohol or smoking in the days leading up to surgery. Both can impair healing and increase the risk of complications. Your eyes will thank you later.

Post-Surgery Checklist: The Do’s

  • Use all prescribed eye drops exactly as directed. These usually include antibiotics, steroids, and lubricants. They help prevent infection and reduce inflammation.
  • Attend every scheduled follow-up appointment, even if you feel fine. Doctors can detect early signs of rejection or other complications. Missing visits puts your recovery at risk.
  • Wear your eye shield or glasses as instructed. This protects the graft from injury while it heals. Accidental bumps or even pillow pressure can be harmful.
  • Get adequate rest, especially in the first few weeks. Your body heals best when it's well-rested. Avoid late nights and screen strain.
  • Maintain good hygiene and avoid dusty or crowded places. Infection risk is highest in the initial recovery period. Your eye area must stay clean and protected.

Post-Surgery Checklist: The Don’ts

  • Never rub your eyes, even if they feel dry or itchy. The graft is delicate and may shift with pressure. Instead, ask your doctor for moisturising eye drops.
  • Avoid heavy lifting, bending forward, or engaging in high-intensity activity. These can increase intraocular pressure, harming your eye. Light walking is fine, but avoid anything that causes your heart rate to rise.
  • Don’t ignore new symptoms or wait to report them. Redness, pain, or changes in vision could signal a serious issue. Early intervention often prevents permanent damage.
  • Avoid swimming pools, hot tubs, or saunas until you receive medical clearance. These environments carry a high risk of bacterial contamination. Your eye must be shielded from such exposure.
  • Don’t drive until your surgeon confirms it’s safe. Your vision may be blurry, and depth perception could be off. Safety comes first, for you and others.

Signs of Complications to Watch For

  • Some mild discomfort and watering are normal right after surgery. However, certain signs should never be ignored. Know the difference to protect your sight.
  • If your eye becomes red or suddenly painful, call your doctor immediately. This could indicate graft rejection or infection, and delaying treatment can lead to irreversible damage.
  • Blurred vision that worsens instead of improving is another warning. While fluctuations are expected, steady decline isn’t. Your surgeon can check for complications.
  • Light sensitivity, halos, or a gritty feeling in the eye may suggest inflammation. While these are common after surgery, symptoms that are severe or don’t improve could signal a complication. When in doubt, it’s always best to check with your doctor.

When to Seek Help Immediately

  • Call your doctor immediately if you experience sharp eye pain, severe redness, or sudden vision loss. These may be signs of acute rejection. Prompt care can often reverse the issue.
  • Report any discharge or swelling around the eye that doesn’t subside. This could point to infection. Your doctor may prescribe stronger antibiotics or modify your care plan.
  • Persistent nausea, headache, or dizziness after surgery may not be directly eye-related, but still warrant attention. These symptoms can stem from medications or anaesthesia effects. Your doctor needs to know either way.

FAQs:

1. How long is the recovery after a corneal transplant?

Recovery may take six months to a year, depending on the surgery type. Your vision will improve gradually.

2. Can the new cornea be rejected?

Yes, but it’s uncommon with proper care. Medication and close follow-up greatly reduce that risk.

3. When can I resume daily activities?

Light tasks are okay after a week. But avoid strenuous activities for at least a month.

4. Do I need special eye care after recovery?

Yes, long-term care includes periodic exams and updated prescriptions. Stay vigilant about any vision changes.

5. What if I miss an eye drop dose?

Take it as soon as you remember. Don’t double up, just return to your regular schedule.

Conclusion

Choosing to undergo a corneal transplant is a big step, but with the right preparation and aftercare, it can change your life. Staying informed, following medical advice, and recognising warning signs early- all play a critical role in your recovery. At Maxivision Eye Hospitals, we’re committed to guiding you every step of the way with expert care, advanced surgical options, and genuine compassion so you can look forward to clearer vision and renewed confidence.