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Corneal Transplant (Keratoplasty): Procedure, Cost & Recovery

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What is a Cornea Transplant?

A cornea transplant (also called keratoplasty) is a surgical procedure where a damaged or diseased cornea is replaced with healthy donor corneal tissue. The cornea is the transparent, dome-shaped surface at the front of the eye that helps focus light for clear vision. It is one of the most successful transplant surgeries in medicine. Unlike an eye transplant, which is not possible, only the cornea can be transplanted.

This surgery is recommended when the cornea becomes scarred, swollen, thinned, or irregular in shape due to conditions like keratoconus, corneal infections, injuries, or corneal dystrophies.

There are different types of corneal transplants depending on how much of the cornea is replaced:

  • Penetrating keratoplasty (PK): Full-thickness corneal transplant.
  • Endothelial keratoplasty (EK): Only the innermost corneal layer is replaced.
  • Anterior lamellar keratoplasty (ALK/DALK): Only the outer layers are replaced.

Corneal Transplant vs Eye Transplant

FeatureCorneal TransplantEye Transplant
DefinitionReplacement of the clear, front layer of the eye (cornea) with donor tissueReplacing the entire eye with another eye
PossibilityCommon, safe, and widely performed surgeryNot possible with current medical science
Reason for SurgeryTreats corneal diseases (e.g., keratoconus, scars, swelling, infections)Cannot be done – optic nerve and brain connections make it impossible
Success RateHigh success rate with improved vision in most patientsNo successful cases reported
Alternative NameKeratoplastyNot applicable

Types of Corneal Transplant (Keratoplasty)

Depending on the layer of the cornea being replaced, keratoplasty types include:

  1. Penetrating Keratoplasty (PK) – Full-thickness corneal transplant
  2. Lamellar Keratoplasty – Only part of the cornea is replaced
    • Deep Anterior Lamellar Keratoplasty (DALK)
    • Endothelial Keratoplasty (DSAEK / DMEK)
  3. Laser Corneal Transplant – Advanced, precise laser-assisted keratoplasty

Who Needs a Corneal Transplant?

A cornea transplant surgery is recommended when the cornea is permanently damaged and vision cannot be improved with glasses, lenses, or medication. Common conditions include:

  • Central corneal opacity or scars
  • Severe corneal ulcer with or without perforation
  • Irreversible corneal swelling (bullous keratopathy)
  • Keratoconus (advanced stage with scarring or thinning)
  • Severe corneal injury or trauma

Where Does One Get the Donor Cornea From?

Donor corneas come from eye donation. When a person pledges to donate eyes, the eye bank team retrieves the corneas after death. These tissues are stored and distributed for corneal transplantation.

Artificial corneas are under research but not widely used in clinical practice yet.

Cornea Transplant Surgery Procedure

  • The damaged cornea is removed using specialized instruments.
  • A donor cornea of matching size is sutured into place using fine stitches (usually 16).
  • The procedure takes about 1–2 hours and is performed under local or general anesthesia.
  • In some cases, corneal transplant surgery can be combined with cataract or glaucoma surgery.

Corneal Transplant Cost in India & Mumbai

Average Cost Range in India

  • Cornea transplant cost in India: ₹80,000 – ₹1,50,000 (depending on type and hospital)

Cost in Mumbai

  • Corneal transplant cost in Mumbai: ₹90,000 – ₹1,60,000 on average

Factors Affecting Cost

  • Type of keratoplasty (penetrating vs lamellar vs laser)
  • Surgeon’s expertise & hospital facilities
  • Donor cornea availability
  • Post-surgery care and medications

Insurance & Packages

Many insurance plans cover cornea transplantation, especially if vision loss is significant. Eye Solutions also offers customized packages for affordability.

Recovery After Corneal Transplant

  • Cornea transplant healing time: Initial healing takes 6–12 weeks, full recovery may take up to 1 year.
  • Stitches may be removed gradually after 6–12 months.
  • Patients need long-term medicated eye drops to prevent rejection.
  • Most patients notice improved vision before and after cornea transplant, though glasses or lenses may still be required.

Risks & Complications

While generally safe, cornea transplantation has some risks:

Corneal Transplant Side Effects

  • Blurred vision initially
  • Eye discomfort, redness, or swelling
  • Astigmatism due to sutures

Signs of Corneal Transplant Rejection

  • Red eye
  • Sudden decrease in vision
  • Light sensitivity
  • Eye pain

If these occur, consult your cornea specialist in Mumbai immediately. Early treatment can save the graft.

Success Rate in India

The cornea transplant success rate is high – over 90% in keratoconus and 70–80% in complex cases.

Why Choose Eye Solutions for Corneal Transplant in Mumbai

  • Experienced cornea specialists in Mumbai
  • Affiliated with reputed eye banks for donor corneas
  • Expertise in penetrating & lamellar keratoplasty
  • Transparent corneal transplant cost in Mumbai
  • Comprehensive pre-surgery evaluation, surgery, and post-surgery care

Top Eye Specialists in Mumbai at Eye Solutions

Dr. Poonam Rai

MBBS, MS, DNB, FICO, ICO Cornea, FAEH

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Dr Urmi is a technically sound, empathetic and fine doctor. My father recently underwent cataract surgery, and we couldn’t be more pleased with the experience. From the initial consultation to the post-operative care, the entire process was smooth and professional. Dr Urmi was incredibly kind, patient, and took the time to explain everything in detail, which really helped put us at ease. The staff was also courteous, efficient, and made sure all our questions were answered. I highly recommend Dr Urmi to anyone considering cataract surgery.

Frequently Asked Questions

Why would someone need a cornea transplant?

To restore vision when the cornea is scarred, swollen, or severely damaged.

Is a cornea transplant painful?

No. The surgery is done under anesthesia. Mild discomfort may occur during recovery but is manageable with medications.

Can corneal transplant surgery be combined with other surgeries?

Yes, it can be combined with cataract or glaucoma surgery if needed.

What is the success rate of a corneal transplant?

Success rate is over 90% in keratoconus and good in most other cases, depending on the underlying condition.

What is the cost of corneal transplant in Mumbai?

₹90,000 – ₹1,60,000 depending on type and complexity.

What is the cost of a donor cornea?

Donor corneas are provided by eye banks, often with nominal processing charges included in the surgery package.

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