Treatments for keratoconus eye disorder have increased the benefits to patients. There are medical and surgical interventions available. Lets discuss new treatments for keratoconus.
These new treatments for keratoconus have revolutionized the practice of keratoconus management. Twenty years ago keratoconus or bulging eyes sufferers had no option but to wear rigid contacts lens till they developed complications like hydros or scarring. At that time they waited for a corneal transplant.
In 2018 the paradigm has shifted. We want to avoid doing corneal transplant. We want to halt the progression of keratoconus eye disease. At the
Los Angeles Keratoconus surgeon can help guide you to the option best suited for your eyes. A pain free detailed corneal mapping and shape analysis done on state of the art machines helps make the determination.
Of note is this: of all the treatments listed the only one which can halt the progression of keratoconus eye disease is COLLAGEN CORNEAL CROSS LINKING.
The early a kid gets cxl intervention the better the chances to preserve best vision. But wait you have to be careful to get the correct type of cxl. The gold standard is epi off Dresden protocol with 30 minutes riboflavin soak and ½ hour UVA irradiation. Don’t make compromises with your vision. Or your kids vision.
Corneal collagen cross linking procedure combined with PTK and PRK – Cretan protocol plus can improve refractive error (astigmatism). This is based on our experience and a study paper published in the Journal of Cataract and Refractive surgery from Crete, Greece By Dr. Grentzelos.
Corneal collagen cross linking as you may know was invented by Dr. Wollensack. It can halt the progression of Keratoconus. In US FDA has approved Avedro KXL/Photrexa system to prevent progression in post lasik ectasia and progressive keratoconus. The major drwaback has been that patients are still left with refractory error especially astigmatism. Hence vision is not optimal in these teens and young adults. Keratoconus surgeons had been hesitant to apply laser energy to the keratoconus cornea, for fear that tissue removal may further weaken the cornea.
This will also allow us do corneal collagen cross linking procedure combined with PTK and PRK – Cretan protocol plus can improve refractive error (astigmatism ) on patients of forme fruste keratoconus. Such people have been turned down for classification of cross linking/cxl)
Corneal collagen cross linking procedure combined with PTK and PRK can only be done for minor corrections where total corneal tissue ablated is less than 50 microns. And at least 350 microns should be left. Again, judicial judgment by an experienced laser and keratoconus surgeon is very important. We usually have restricted to treat astigmatism in the central 6 mm zone, especially when tissue ablated is away from the thinnest zone.
Vision can be improved. Combination allows rapid improvement of vision, avoiding contact lenses. There is no additional pain. If the two procedures are done separately there is discomfort and healing time for each. Another advantage of using the PTK mode for removal of epithelium is that it flattens the cone decreasing higher order aberrations.
As with any advance we have to be careful of potential side effects. PTK can weaken the thinnest bulging part of the cornea. This may destabilize the cornea.
Please consult with your keratoconus expert if this is a good choice for you.
We have learn in previous pages of this website on the keratoconus subject that c3R is helpful to halt Keratoconus. Cornea keratoconus treatment with c3 R or cornea collagen crosslinking with Riboflavin can impede the progression of this vision devastating disease. Hence it can help one lead a more productive life.
On TV and online one may see numerous ads for various forms of cross linking. Remember to seek the best and FDA approved
In Beverly hills keratoconus treatment is performed at our center with FDA approved technology of Avedro. There are other machines which are not FDA approved like Peschke, Lightmed, and more. These can put your eyes at risk. Please ask your Beverly Hills keratoocnus treatment provider the machine they are employing. Make sure the UVA machine and the Riboflavin is FDA approved.
As of October 2017 Only KXL/Photrexa combination is FDA approved. Would you be a guniea pig in an experimental setting or would you rather have trusted and approved cxl treatment by a Avedro certified Keratoconus professional?
The choice is yours. You have one pair of eyes. Trust one name – Dr.Khanna