PRK for Astigmatism after Cornea Transplant

Even if a cornea transplant is successful, many people are unhappy with the results because of high astigmatism which can defeat the purpose of having a cornea transplant in the first place. High nearsightedness can also occur.

If you had a cornea transplant, then you likely already know this and it can make wearing a full glasses prescription impossible or contact lens fitting very difficult. In these situations, people are not any better off than before the cornea transplant.

PRK after corneal transplant
PRK after a cornea transplant is a specialized laser technique that can dramatically improve your vision. It involves gently removing the outermost surface cells of the cornea. The laser is then applied to reshape the outermost portion of the cornea to directly treat astigmatism and nearsightedness. The procedure usually takes about 10 minutes to perform and the cells naturally grow back in about 5 days.

The goal is to help improve your quality of vision with less powerful glasses or contact lens prescriptions. In some cases, patients find their vision is so dramatically improved that they rarely need glasses or contacts.

Dr. Brian is an expert with tremendous experience using his specialized PRK laser to treat astigmatism and nearsightedness after a cornea transplant, which can dramatically improve your vision and can give you back a high quality of life again. People fly in from all over the United States and other countries for Dr. Brian to perform PRK after cornea transplant.


Many out-of-town patients would like Dr. Brian to do a complimentary review of their medical records and make a preliminary determination of candidacy regarding PRK after your cornea transplant. This is useful before planning a trip to Los Angeles. These are the steps:

  • Along with your last 2 or 3 eye exams, please be sure to include a color copy of your corneal mapping. Color corneal mapping is a very important tool, along with your exam history, to determine your candidacy. The last 2 years of your total eye history will be used to make this preliminary determination.
  • Inside the envelope, please be sure to include a cover sheet with your name address, phone number and email address and the words, “Keratoconus Record Review”, so that we may optimize communication with you.
  • Enclose with your letter a copy of your records.

Mail to:

Boxer Wachler Vision Institute
Keratoconus Record Review
465 N. Roxbury Drive, Suite 902
Los Angeles, CA 90210

Or you can scan your records and email them to

Dr. Brian’s Keratoconus Specialist will contact you to discuss the review.

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