At Pink City Eye & Retina Center, Jaipur, we understand that managing Pseudophakic Bullous Keratopathy (PBK) requires a customized approach based on the stage and severity of the condition. Whether it’s relieving discomfort in early cases or restoring vision through advanced surgical techniques in more severe ones, our goal is to provide safe, effective, and compassionate care at every step as part of our specialized Pseudophakic Bullous Keratopathy (PBK) Treatment in Jaipur.

1. Medical (Non-Surgical) Management – For Early or Mild PBK

In the early stages of PBK, where symptoms are mild and vision is still relatively preserved, we often start with non-surgical treatments to manage symptoms and delay disease progression:

🔹 Hypertonic Saline Drops or Ointments (5% NaCl)

These agents draw out surplus fluid from the cornea, assisting in the reduction of swelling and enhancing corneal clarity.

🔹 Bandage Contact Lenses (BCL)

Special soft lenses that protect the corneal surface and relieve pain caused by ruptured bullae.

🔹 Lubricating & Anti-inflammatory Eye Drops

Artificial tears keep the eyes comfortable, while topical steroids may be used (with caution) to reduce inflammation.

🔹 Intraocular Pressure (IOP) Control

If PBK is associated with secondary glaucoma, medications may be prescribed to lower eye pressure and protect the remaining endothelial cells.

🔹 Monitoring and Follow-Up

Regular monitoring of corneal thickness, vision changes, and endothelial health is essential during this phase.

2. Surgical Management – For Advanced PBK

When conservative measures fail or vision loss becomes significant, surgical intervention is often necessary to restore corneal function and improve visual outcomes. At Pink City Eye & Retina Center, we offer the most advanced surgical solutions, including:

🔹 Endothelial Keratoplasty (DSEK/DSAEK & DMEK)

These are minimally invasive corneal transplantation procedures that exclusively target the compromised endothelial layer, preserving the healthy outer corneal layers.

• DSEK/DSAEK: Transplants a thin layer of donor tissue, including endothelium and a bit of stroma. Offers faster healing and visual recovery than full-thickness grafts.
  
  
• DMEK: Transplants only Descemet’s membrane and endothelium, providing even better visual outcomes and lower rejection risk.

These are the most preferred surgical treatments for PBK today.

🔹 Penetrating Keratoplasty (PK) – Full-Thickness Corneal Transplant

Recommended in cases where corneal damage is extensive or other layers are also affected.

• A diseased cornea is wholly substituted with healthy, compatible donor tissue.
  
  
• Recovery takes longer and requires more post-operative care, but it’s effective in severe or complicated PBK cases.

🔹 Intraocular Lens (IOL) Repositioning or Exchange

If a poorly positioned or outdated IOL is contributing to endothelial damage:

• The lens may be repositioned, removed, or replaced with a safer, posterior chamber or scleral-fixated IOL.
  
  
• Often performed alongside corneal transplant surgery for best results.

🔹 Amniotic Membrane Transplantation

In patients with severe pain due to persistent bullae, amniotic membrane grafts may be applied to the eye surface to:

• Promote healing
  
  
• Reduce discomfort
  
  
• Serve as a temporary solution before corneal transplant

🔹 Conjunctival Flap or Tarsorrhaphy (Protective Surgery)

In very rare cases where visual recovery is unlikely but pain is severe:

• A conjunctival flap or partial eyelid closure may be done to protect the eye and relieve pain, especially in eyes with poor visual potential.