Who is a corneal transplant indicated for? How the operation occurs Recovery after keratoplasty Advantages of keratoplasty at MGC Video reviews from patients Cost of treatment Video of penetrating corneal keratoplasty Possible complications May be useful
Penetrating keratoplasty (corneal transplant) is a microsurgical operation that can improve the quality of vision in patients with various corneal pathologies. The purpose of the operation is to restore the anatomical shape and function of the cornea and eliminate its existing congenital or acquired defects. Nowadays, keratoplasty is the most common organ transplantation operation. More than ten thousand such operations are performed annually in the world.
During the operation, the affected area of the cornea is completely or partially replaced with a donor graft. In this case, depending on the pathology, the graft can replace corneal tissue to its entire depth, and can also be placed on the anterior layers of the cornea or in its thickness.
Who is a corneal transplant indicated for?
According to statistics, various types of corneal pathologies account for 25% of all diseases of the visual organs. Impaired visual acuity caused by corneal pathologies is in most cases irreversible and cannot be corrected with glasses or contact lenses. That is why keratoplasty is actually the only effective treatment for patients with changes in the transparency (opacity) of the cornea or a violation of its sphericity. Corneal transplantation is used for:
- keratoconus and keratoglobus;
- avascular corneal cataract (formed as a complication of keratitis and corneal ulcers, after a chemical or thermal burn);
- post-traumatic scars of the cornea (including after operations);
- congenital or acquired corneal dystrophies.
Before undergoing surgery, all patients who require a cornea transplant must undergo a thorough examination to identify contraindications and risk factors, as well as predict the results of the intervention. If risk factors such as entropion, ectropion, blepharitis, bacterial keratitis, etc. are detected, they must be eliminated before keratoplasty.
Advantages and disadvantages
Hair keraplasty is a restoration that is more effective than most similar medical procedures.
Its advantages are:
- increase in hair volume;
- restoration and strengthening of the curl structure;
- shine appears;
- All products included in the product are natural, therefore the composition is hypoallergenic.
Keratin restoration has virtually no downsides, which also influenced its popularity.
But there are some disadvantages:
- keratin weighs down the hair: if the roots are weak, the hair may fall out;
- unstable effect;
- high cost of the procedure.
The disadvantages include difficulties in finding a specialist who can provide quality service. Before carrying out the procedure, you can ask to see the means that will be used in the work to get the desired effect from the procedure.
How does the operation take place?
The operation is performed in a “one day” mode; the choice of anesthesia method depends on various factors (age, type of corneal pathology, general condition of the patient, etc.); both local and general anesthesia can be used.
The eyeball is fixed, the surgeon determines the exact size of the area of the cornea that needs to be removed. After forming a corneal flap with the specified parameters, the affected tissue is removed. In their place, a corneal graft is implanted, the dimensions of which completely coincide with the dimensions of the removed flap.
If necessary, laser support for keratoplasty can be used using a femtosecond laser (our clinic uses the latest installation - Wavelight FS200 Femtosecond, which has the highest speed of corneal flap formation).
According to indications, reconstruction of the anterior segment of the eye can be performed simultaneously (cataract removal, installation or replacement of IOLs, destruction of synechiae, iris plastic surgery, etc.). After completing all the necessary manipulations, the transplant is fixed with a special suture material (the thickness of the thread is much thinner than a human hair), a tight pressure bandage is applied to the operated eye, and special protective contact lenses can also be used. On the day of surgery, the patient returns home.
What is the difference between keraplasty and keratin straightening?
The main difference between the procedures is the purpose of their application. Keratin straightening is chemical hair straightening with a restorative effect. Most products used to perform this procedure contain formaldehyde or another chemical that helps straighten the hair.
Therefore, after this service, the curls lose volume, especially if they are thin and curly. Keraplasty is aimed at restoring the hair structure and treating it, so if you need to grow its length or get rid of dryness without changing its structure, you need to choose this service.
When straightening, high temperatures are applied to the curl to seal the keratin. Thanks to this, straightening is achieved. This service is not suitable for those with short hair: a more aggressive composition can negatively affect the scalp. Keraplasty can be done on any length of hair.
Keratin straightening has a more aesthetic focus. And with keraplasty, filling occurs naturally. Therefore, keratin straightening has a more lasting effect. But keraplasty has a cumulative effect, which allows you to restore curls and return them to a healthy, beautiful appearance.
Recovery after keratoplasty
The rehabilitation period after keratoplasty is quite long and ranges from 9-12 months or more, this is due to the structural features of the cornea. Sutures are removed no earlier than 6 months (or later) after surgery. To avoid postoperative inflammation of the cornea and reduce the risk of transplant rejection, glucocorticoids and antibacterial drugs in the form of eye drops are prescribed (for at least 2 months after surgery). During the entire healing period, it is recommended to carefully protect the eye from mechanical damage and avoid heavy physical work.
Indications for use
Keraplasty allows you to restore beauty and health to dull, brittle hair without injections. In addition to restoration, after this procedure a protective shell appears on the curls, reducing the harmful effects of adverse environmental factors.
Keraplasty should be done if:
- has been dyed or permed;
- hair is often exposed to high temperatures;
- there is thinning and fragility of curls;
- you need to add shine to dull hair;
- you need to protect your curls from the adverse effects of the environment;
- you need to add volume to thin hair.
It should be done for women after 40-50 years of age, because at this age hair aging begins. And after they are saturated with keratin, they are rejuvenated - they again become silky, shiny, and the color is more saturated.
This procedure not only helps to improve the hair structure, but also maintains its beautiful, well-groomed appearance. Keraplasty helps maintain rich color after dyeing.
Advantages of keratoplasty in MGK
Before undergoing surgery, our patients undergo a thorough eye examination using the most modern diagnostic equipment from major international manufacturers. Our Clinic has all the necessary equipment for cornea transplantation and its own bank of biotransplants. In 2014, 21 end-to-end corneal transplants were performed at MGK, which is the highest figure among non-state ophthalmological centers in Russia.
World-class specialists work at the Moscow Eye Clinic. Penetrating keratoplasty is one of the priority tasks of the clinic. The clinic employs Professor Alexey Yurievich Slonimsky, one of the most authoritative specialists in the treatment of patients with various corneal pathologies, a recognized leader in the field of end-to-end transplantation for keratoconus, and the author of a monograph on keratoconus. Professor Slonimsky Yu.B. - Member of the Board of the Russian Society of Ophthalmologists. Among fellow ophthalmologists, Yuri Borisovich is a recognized authority in the field of treatment of patients with severe corneal pathology. These operations are performed by a surgeon of the highest category, the chief physician of the clinic, Natalya Ivanovna Fomenko, who has successfully performed more than 12 thousand operations of varying complexity.
An individual approach and attentive attitude to each patient are the key to effective treatment at the Moscow City Hospital. We care about our patients, so we are ready to provide all the required assistance every day, seven days a week, from 9 am to 9 pm. For the convenience of our patients, we have a hospital (including a day hospital).
What results does keraplasty provide?
Keraplasty is considered a more effective procedure than masks, lamination and shielding.
What results will girls and women get after it:
- Instant saturation of hair with keratin.
- Strengthening and restoration not only from the outside, but also from the inside.
- The curls become voluminous, but without the “fluffy” effect.
- A shine appears.
- Thanks to the protective shell, hair is less exposed to the harmful effects of physical and chemical factors.
- Hair becomes denser and more elastic.
- It is a preventive measure against split ends.
- The shade of dyed hair may change slightly.
The result after the first procedure will not be so noticeable, because the effect is cumulative. Some consider this a disadvantage: then it needs to be done often (every 3-4 weeks), and its cost is high. But not a single service (except Botox) will give such an effect to hair as keraplasty.
Cost of treatment
The price of keratoplasty surgery is determined by the volume of surgery, the need to use general anesthesia, etc. The cost of performing penetrating keratoplasty in our clinic ranges from 90,000 rubles. for one eye, when reconstructing the anterior segment of the eye, the cost of the operation may increase. Biomaterial is paid separately (its cost is 98,000 rubles).
You can find out the cost of a particular procedure by calling the MGK hotline number 8(800)777-38-81 (toll-free from mobile phones and regions of the Russian Federation) and telephone in Moscow +7(499)322-36-36 or online, use Skype consultation on the website, you can also familiarize yourself with the “Prices” section.
Go to the “Prices” section>>>
Author:
Kishkin Yuri Ivanovich 5/5 (1 rating)
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Features of the procedure
Until recently, hair keraplasty was available only in beauty salons and the cost of the procedure was very merciless. Now kits for carrying out the manipulation in question have appeared on the open market, and it is possible to do hair strengthening yourself at home. And this is the main feature of keraplasty, because all other procedures, similar in effect, are available only in specialized places.
Hair keraplasty at home
Among other features, it is worth paying attention to the following:
- a haircut that is too short is not suitable for the procedure, because there is a high risk of damage to the scalp by the aggressive composition;
- Hair coloring should be done before keraplasty;
- after the procedure you will have to change your usual shampoos, balms and conditioners to specific ones;
- the resulting effect has a short period of presence, but the benefits from keraplasty are greater than with keratin hair straightening.
Watch this video about how the keraplasty procedure takes place in the salon:
Required Tools
To make nanoplasty you will need the following hairdressing tools.
- A comb with a thin tail and fine teeth to separate the desired strands with partings.
- Cellophane negligee to protect skin and clothing from contact with the composition.
- A brush for applying keratin preparation and oil.
- A bowl.
- Latex gloves.
- Hairdressing clips.
- Hairdryer or dryer.
- Comb with rare teeth.
- Stationary sink for washing hair.
- Towels.
- An iron for hair nanoplasty must have a tourmaline coating and be heated to at least 230 °C.
No additional materials are required for the procedure, since the preparations are produced as a set - composition and oil. Unlike conventional keratin straightening, before nanoplasty it is enough to wash your hair with a simple shampoo for everyday use.
Useful video
Watch this video on how to perform keraplasty at home:
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What is hair bioplasty
Bioplasty, also known as bixiplasty, is a safe system for reconstructing and straightening strands.
The method is based on the activity of cysteine, an amino acid that serves as a conductor of nutrients into the cuticle component of the hair. The unique composition of the preparations used is enriched with plant extracts and fatty acids, which give the hair the desired beauty while preserving its natural moisture. The standard procedure lasts about 3-4 hours and consists of three stages.
Initially, a deeply cleansing, highly alkaline shampoo with pH = 9.5 is applied to the hair. It ideally removes all types of contaminants, while simultaneously degreasing and revealing the scaly layer of curls, thus preparing them for further processing.
Next, the hair is lightly dried with a hairdryer and divided into four zones. A reconstructive mask is gradually applied to each of them. In this case, a distance of one centimeter from the roots must be observed. This nourishing complex is left on the hair for at least 20 minutes.
At the last stage, the curls are dried again with a hairdryer, alternately supplying cold and warm air. Afterwards, each strand is carefully processed with an iron. The temperature regime of the tool is selected depending on the structure of the strands. The tougher and curly they are, the taller he is. The strands are allowed to cool for 20 minutes, then washed again with warm water and dried one last time.
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Techniques
Whatever the cause of hair loss, there is always a way to correct the situation. You just need to set yourself the goal of figuring out what’s going on: get tested, if necessary, get advice from a therapist, gynecologist, endocrinologist, gastroenterologist. If the problem is limited to the trichologist, then he has effective procedures in his arsenal. For example, injection techniques, in particular mesotherapy of the scalp. This method has long established itself as one of the best. When drugs containing a large amount of active substances reach the hair follicles through injection, they inhibit hair loss and stimulate their growth.
Plasma therapy (PRP therapy) is also effective, when the injection drug is made from your own blood (plasma). It contains a lot of growth factors and active substances that stimulate growth processes and strengthen hair. These techniques can be alternated.
There are also physiotherapeutic techniques, such as laser treatments, pulsed electrical treatments, massage with specialized lotions. In each specific case, the doctor chooses procedures that are suitable for the patient, taking into account all factors: the condition of the hair and scalp, the cause of hair loss, and so on.
Mesotherapy of the scalp is performed in a course of five to seven procedures with an interval of one week. Plasma therapy requires three to seven treatments spaced at least two weeks apart.
Review of home care products
Serum against hair loss, Nioxin — RUB 3,420.
Contains sandalore™ (a synthetic sandalwood scent), caffeine, lauric acid and niacinamide. The aroma of sandalwood can be perceived by the olfactory receptors present in the hair follicles and stimulate and prolong their growth phase. As a result, the period preceding hair loss is prolonged and hair loss is reduced.
Scalp serum, BNV Biolab - price on request
A cosmetic product with a high profile of effectiveness and safety. Does not contain hormones, antibiotics, steroids. It contains a multipeptide complex HMPF complex - it activates hair follicle cells, nourishes them and normalizes blood circulation, and honeysuckle extract improves hair texture and protects against drying out.
Shampoo from the Extreme Length range, Redken - from 1,500 rubles.
Enriched with biotin (B vitamin), which promotes hair restoration, growth, and prevents breakage and split ends. After use, the hair becomes stronger and better tolerates thermal and chemical influences (hair dryer, styler, curling iron, dyeing, bleaching). Suitable for owners of weak and brittle hair who would like to strengthen and grow it.
Ampoules against hair loss ScalpSync PRO-Aminexil, Biolage - from 1500 rub.
The tonic with a light melting texture is instantly absorbed into the scalp and adds root volume. This is a professional treatment containing the Pro-Aminexil molecule, which strengthens the hair roots and prolongs the life cycle of the hair. The product restores the balance of the scalp, maintains the density of thinning hair and gives it a healthy appearance.
Serum to stimulate hair growth, Marble Lab — RUB 1,490.
The product promises to stop hair loss in three months and make it invulnerable to stress and the harmful effects of other external factors. The composition includes molecules that stimulate the division of stem cells and the metabolism of skin fibroblasts. The composition is supplemented with zinc, which strengthens the hair shaft, and glycine, an amino acid that reduces hair loss.
Cleansing gel for scalp and hair Scalp Care, Irforia – 1200 rub.
A product with a peeling function deeply cleanses the scalp of fat, dead skin particles, dust, styling products, and hard water deposits. As a result, oxygen is supplied to the hair roots, blood microcirculation improves, stimulating the growth of new hair. The composition contains black willow extract, which nourishes the hair roots, and hyaluronic acid, which prevents the scalp from drying out.
Kerator-regulating shampoo DS Hair, Uriage — 998 rub.
Eliminates dandruff, flaking, crusts, reduces irritation and itching. Zinc lactate, which is part of the formula, regulates the functioning of the sebaceous glands, and salicylic acid has a keratoregulating effect. Hair becomes stronger, shiny and easy to comb.
Shampoo against hair loss and oil “Castor oil and almonds” Botanic Therapy, Garnier - from 170 and 300 rubles.
The line is intended for weak hair prone to hair loss. Castor oil is known for its strengthening properties and promotes hair growth. Almond oil nourishes and restores hair, making it more elastic, shiny and strong. Light leave-in oil complements care, adds shine to hair and has an antistatic effect.
Shampoo-activator of hair growth "Seven pharmaceutical oils" Prokapil, Dr.Stern - 217 rub.
The product contains natural oils, including apricot kernel oil, sweet almond and jojoba oil, as well as a complex to activate hair growth - Procapil® (a combination of fortified matrikin, apegenin and oleic acid). Oils nourish and strengthen hair, and the complex stimulates hair growth and fights hair loss.
Origin of donor material
Corneal tissue is collected from a cadaveric brain donor by ophthalmologists. A preliminary determination of brain death is carried out. It is also acceptable to receive donor material within 24 hours after cardiac arrest. After extraction, the cornea is placed in a pre-prepared solution in which it can be safely transported. It is permissible to store tissue in this solution for a week.
Currently, special banks are beginning to be formed where donor tissue is stored. This allows keratoplasty surgery to be transferred from the category of emergency to planned. The patient undergoes all the necessary examinations and preparation, after which the transplant is performed.
