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Northern Virginia Ophthalmology Associates, P.C. — Your Vision Is Our Focus

Cornea Care

Cornea disease & corneal transplant

In short

The cornea is the clear front window of the eye. When disease or injury makes it swollen, scarred, or irregular, vision becomes blurry. NVOA's fellowship-trained cornea surgeons diagnose and treat corneal conditions and perform partial-thickness (DMEK, DSEK) and full-thickness (PKP) corneal transplants.

Who it's for
People with Fuchs dystrophy, keratoconus, corneal scarring, or corneal swelling after earlier eye surgery
Transplant types
DMEK, DSEK, PKP
Related care
Specialty and scleral contact lenses for irregular corneas
Offered at
Falls Church · Fairfax · Alexandria

What corneal conditions do we treat?

  • Fuchs endothelial dystrophy — gradual corneal swelling that causes morning blur and glare
  • Keratoconus — thinning and bulging of the cornea that distorts vision
  • Corneal swelling after cataract or other eye surgery (pseudophakic bullous keratopathy)
  • Corneal scars from infection or injury
  • Complex cataracts in eyes with corneal disease

What is a corneal transplant?

A corneal transplant replaces damaged corneal tissue with healthy donor tissue. Modern partial-thickness procedures replace only the diseased layer, which usually means faster recovery and a lower rejection risk than a full-thickness transplant.

  • DMEK (Descemet membrane endothelial keratoplasty) — replaces the thinnest inner layer; often used for Fuchs dystrophy
  • DSEK (Descemet stripping endothelial keratoplasty) — replaces the inner layer with slightly thicker donor tissue
  • PKP (penetrating keratoplasty) — replaces the full thickness of the central cornea when all layers are affected

Are there options besides surgery for keratoconus?

Many people with keratoconus see well with specialty contact lenses such as rigid gas permeable or scleral lenses. NVOA optometrists fit these lenses and work closely with our cornea surgeons when surgical care is needed.

Frequently asked questions

How long does it take to recover from a corneal transplant?

Recovery depends on the procedure. After DMEK or DSEK, many patients notice improvement within weeks, while full-thickness transplants can take many months to reach final vision. You will need regular follow-up visits and eye drops.

Can a cataract and a corneal transplant be done together?

In some cases, yes. Your surgeon may recommend combining or staging the procedures depending on the health of your cornea.

Where does donor corneal tissue come from?

Donor corneas come from eye banks that carefully screen and test tissue for safety.

Doctors who provide this care

This page is for general education and is not a substitute for an exam. Call 911 for a medical emergency.

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