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Corneal Surgery

corneal-surgery.jpgSpecializing in complex cases and previous complications of corneal surgery, Dr. Rapoza is an experienced surgeon who has been instrumental in developing surgical techniques for various types of corneal surgery, including corneal transplants. 

Cornea surgery may be considered minor or major depending on the medical issue. Examples of minor procedures include pterygium removal or superficial keratectomy. A major corneal operation is a corneal transplant.  

Minor Corneal Procedures  

Corneal Epithelial Debridement
Corneal Epithelial Debridement is performed to remove loose surface tissue from the cornea. This in-office treatment, involves gentle rubbing of the cornea with a device that polishes the under-surface. Once the new surface layer grows back, it firmly attaches to the cornea and reduces the risk of recurrent poor adhesion and pain.

Superficial Keratectomy
Superficial Keratectomy is an in-office procedure that removes the defective surface layer from the cornea, so that healthy cells can regenerate naturally from the edges of the cornea. This is commonly performed on patients who have ocular surface diseases, including erosion of the cornea and Anterior Basement Membrane Dystrophy.

Removal of Pterygium and Pinguecula
Pinguecula are growths that develop over the white of the eye while pterygia are extensions of pinguecula that actually grow over a variable area of the cornea, sometimes causing astigmatism or obscuring vision. Both types of growths are believed to be caused by dry eye and environmental elements such as wind, dust and ultraviolet (UV) light. Dr. Rapoza may prescribe eye drops to relieve some of the discomfort associated with these lesions or recommend the surgical removal of the lesions if the conditions remain problematic

Punctal Plugs for Dry Eye
Sometimes it is neccesary to close the ducts that drain tears out of the eye in order to treat symptoms of dry eye. Plugs can be inserted to achieve better lubrication of the eyes.  

  • Temporary punctal occlusion: Temporary plugs can be inserted into the tear drain of the lower eyelid to determine if this helps provide adequate tears. These plugs can be removed or may be dissolvable within a few days.
  • Semi-permanent punctal occlusion: If the temporary plugs work well, Dr. Rapoza may suggest permanent, yet removable, plugs. The goal is to provide adequate tears and lubrication, improve patient comfort and reduce the need for artificial tears. In rare cases the plugs may come out spontaneously or migrate down the tear drain.

  • Permanent punctal occlusion: In cases of more severe dryness, cauterization of the tear drain completely closes the tract and can provide better lubrication for the eye. 

Major Corneal Procedures - Corneal Transplants

Dr. Rapoza is sub-specialty trained and is highly qualified to provide consultations, second opinions and treatments for a wide variety of corneal problems including corneal transplants.

The cornea is the clear, thin tissue at the front of the eye, through which light passes on the way to the retina. Corneal Transplants involve replacing damaged or diseased cornea with a donor cornea from an eye bank so better vision can be achieved. Dr. Rapoza performs the following types of corneal transplants:

  • Penetrating Keratoplasty (PK): Full-thickness corneal transplant that replaces a larger round section of cornea
  • DSAEK: Partial-thickness corneal transplant placed onto the back surface of the cornea using a small incision

A corneal transplant is performed for various corneal conditions, such as:

  • Eye injury
  • Keratoconus, an abnormal steepening of the  curvature of the cornea
  • Corneal failure as a result of eye surgery
  • Scarring of the cornea after trauma or infection
  • Inherited eye disorders (corneal dystrophies)
  • Rejection after prior corneal transplant

Cornea transplantation is a one of the most successful and frequent transplant operations performed, partly because of a low rejection rate. It is estimated that approximately 50,000 corneal transplants are performed each year in the United States. While success rates have risen dramatically over the years, there are still possible complications that can occur, including:

  • Rejection of the transplanted cornea
  • Eye redness
  • Pain
  • Sensitivity to light
  • Decreased vision

To Schedule an Evaluation with Dr. Rapoza, 

Call 800-635-0489 or Click Here

                                         With offices in Boston, Waltham and Danvers, MA  

Top Doctor

Trusted LASIK Surgeons Logo 2014 (1).jpgTrusted Vision correction expert Dr. Peter Rapoza has been selected by Trusted LASIK Surgeons as ranking among the top 1-5% of eye care specialists performing LASIK Surgery, Cataract Surgery and Refractive Surgery in the United States today. Read More

 

Patient Comments

"Dear Dr. Rapoza, You have my heartfelt gratitude for your excellent workmanship and wisdom. But especially for your genuinely caring presence. You are a gifted man and I am glad to know you." - Crystalens Patient

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News and Events

— December 16, 2014

2015 Leading Physician of the World

Dr. Peter A. Rapoza has been recognized as a 2015 Leading Physician of the World by the International Association of Healthcare…

— December 1, 2014

The PROWL LASIK Study

PROWL stands for Patient Reported Outcome with LASIK. It was a FDA clinical trial started in 2009 to better understand the risk…

— November 25, 2014

Press Release - ORA Advanced Cataract Surgery

Boston, MA – Ophthalmic Consultants of Boston is pleased to announce that it now offers advanced cataract surgery using ORA, a…

— October 1, 2014

Best Doctor Recognition

Dr. Rapoza has been named one of the Best Doctors in America® for 2014 for the thirteenth consecutive year. The highly regarded…

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Boston

50 Staniford Street, Suite 600
Boston, MA 02114

Paid garage parking or street metered parking is available at out 50 Staniford St. location.

Parking is available at 50 Staniford St. in the Longfellow Place Garage. Other garage options include The Garden Garage (located on Lomasney Way) or the Charles River Plaza Deck parking lot, located on Cambridge Street. OCB Clinic: Enter the building and take the elevator to the 6th floor where you will see patient check-in. Boston Eye Surgery and Laser Center: Enter the building. Surgery Center is on 1st floor.

Waltham

52 Second Avenue, Suite 2500
Waltham, MA 02451

Free parking is available in the 52 Second Ave. Parking Garage.

Upon entering the garage, drive under the blue sign that says "52 Second Ave: and bear right heading up the parking ramp to levels P1, P2, P3 or P4. Please note your parking location. Enter the building, take the elevators to the 2nd Floor and follow hallway signs to Ophthalmic Consultants of Boston. OCB Clinic is the 2nd door on right. Surgery Center is the first door on the right.

Contact Information
All Locations: 800-635-0489
 

OCB North Shore - Danvers

104 Endicott Street, Suite 303 
Danvers, MA 01923

Located in the MGH North Shore Center for Outpatient Care. Our office is located on the third floor Suite 303.  

From the South/Boston area: Take I-93 North toward Tobin Bridge. Merge onto Route 1 North. Stay on Route 1 North for approximately 14 miles, then merge onto I-95 North/Route 128 North. Take Exit 24, Endicott Street. At the end of the ramp, go straight through the lights at the intersection into the parking lot.

From the North: Travel 95 South to Danvers. When I-95 and Route 128 split, merge onto Route 128 North. Take Exit 24, Endicott Street. Go straight through the lights at the intersection into the parking lot.