Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1737 - SCOPE AND CONTENTS OF THE FEE FOR SERVICE MEDICAL ASSISTANCE PROGRAM
Subchapter 8 - TISSUE AND ORGAN TRANSPLANTATION
Section 17-1737-92 - Corneal transplant (keratoplasty)
Universal Citation: HI Admin Rules 17-1737-92
Current through February, 2024
(a) Indications of penetrating keratoplasty include:
(1) Corneal
opacification that sufficiently obscures visibility (vision) through the
anterior segment of the eye with at least light perception present. Causes for
this problem include:
(A) Corneal injury and
scarring;
(B) Corneal degeneration
(from Fuch's or other dystrophy or from previous cataract or intraocular lens
implantation, or both);
(C) Corneal
degeneration from keratoconus or familial causes;
(D) Corneal infection (e.g., herpes); and
(2) Therapeutic graft
for relief of pain with at least light perception vision present, from corneal
degeneration because of inflammation with pain in the eye and useful vision
still present.
(b) Indications of lemellar keratoplasty include:
(1) Superficial layer corneal scarring and
deformity due to:
(A) Trauma;
(B) Degeneration;
(C) Infection; or
(D) Congenital deformity
(anterior);
(2)
Aphakia;
(3) High myopia;
(4) High refractive error;
(5) Keratoconus; and
(6) Recurrent pterygium.
(c) Conditions and limitations affecting corneal transplant include:
(1) A relative
contraindication is intractable glaucoma in the eye under consideration for
surgery;
(2) No active eye
infection at the time of surgery;
(3) No general medical contraindications to
surgery or anesthesia;
(4) Informed
consent shall be obtained from the patient or patient's representative;
and
(5) No age
restriction.
Disclaimer: These regulations may not be the most recent version. Hawaii may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.