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Corneal Transplant

Corneal transplant in Tijuana: modern techniques and recovery

By Dr. Ned Davila Avila — Cornea and Refractive Surgery

Corneal transplant in Tijuana: modern techniques and recovery

A corneal transplant is only possible because of an extraordinary act: a person and their family's decision to donate their organs and tissue. Every cornea we transplant represents that gift, and we treat it with all the respect and responsibility it deserves.

In Mexico, and in Tijuana specifically, very few surgeons have access to perform this type of surgery. In my case, I perform corneal transplants strictly following the rules and regulations of Mexico's National Transplant Center (CENATRA).

What do I need to get a transplant in Mexico?

Mexican law sets clear requirements to be eligible to receive a donated cornea:

Mexican nationality or naturalization, with at least 6 months of verifiable residency in Mexico
CURP and valid official ID (Mexican INE or passport)

From full-thickness to lamellar techniques

For a long time, a corneal transplant meant replacing all of its layers —what we call penetrating keratoplasty (PKP). Today the trend is different: whenever possible, we prefer lamellar techniques, which replace only the damaged layer of the cornea and preserve the patient's healthy tissue. This translates into lower rejection risk and a faster visual recovery.

These are techniques I've mastered, and ones that few surgeons in Mexico perform:

DALK

Deep anterior lamellar keratoplasty: replaces the anterior layers of the cornea and preserves the patient's own endothelium, as long as it's healthy.

DSAEK

Replaces the posterior layers of the cornea, including the damaged endothelium, with a faster recovery than a full-thickness transplant.

DMEK

The finest and most precise technique: replaces only Descemet's membrane and the endothelium, with the fastest visual recovery of all the techniques.

Real case: advanced keratoconus treated with DALK

To show what this looks like in practice, here are images from a real case: a patient with advanced keratoconus in whom, instead of a full-thickness transplant, we performed a DALK lamellar transplant —replacing only the anterior layers of the cornea and preserving their healthy endothelium.

Slit-lamp view of a DALK graft with sutures
Slit-lamp view of the DALK graft, with the sutures securing the donor tissue.
Side view of the corneal contour after a DALK transplant
Side slit-lamp view showing the new corneal contour after the lamellar transplant.
Anterior segment tomography showing the interface of a DALK graft
Anterior segment tomography (OCT): the interface between the donor tissue and the recipient bed is visible, characteristic of a successful DALK.

We guide you through the whole process

At Vision Clinic we have a defined protocol to guide you through the entire administrative process required for a corneal transplant in Mexico, from registration to tissue assignment, always following CENATRA's guidelines.

The day of your surgery

1
General anesthesia. This is what we prefer to use for your comfort and safety during the procedure.
2
Outpatient surgery. You don't need to stay overnight — you go home the same day.
3
Follow-up the next day. I'll see you at Vision Clinic for your first post-op check-up.
4
Drop kit at no cost. We give you your starter treatment kit, included with your surgery.
5
One month of check-ups at no cost. I follow you closely during your first month of recovery.

Care during recovery

During recovery, it's important to follow these guidelines:

  • Avoid physical exertion during the first month.
  • Don't swim in pools for the first 3 weeks.
  • Apply your drops exactly as instructed.

An important point: most transplants require anti-inflammatory drops for at least 6 months, depending on each case —it's a treatment I adjust individually at each of your check-ups.

If a corneal transplant has been recommended for you, I invite you to schedule your evaluation with me — I'll be with you every step of the way, from the paperwork to your full recovery.

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