Keratoconus Eye Surgery

Definition      Causes   Symptoms      Signs     Pathology  Diagnosis Treatment CXL  Intacs    DALK     Cornea Transplant Insurance

We understand how keratoconus can make your life miserable. We are here to improve your lifestyle. We care!

“Keratoconus Treatment Options Expert, Rajesh Khanna, MD personally meets you and understands your difficulties with vision.Trust Keratoconus treatment specialist Dr.Khanna to design a customized treatment plan good for life.

Keratoconus eye diseases are a set of corneal disorders where the cornea is structurally weak, unable to withstand the internal pressure from the eye and bulges forwards.

Why do I have Keratoconus?

  1. Genetic
  2. Allergic
  3. Eye Rubbing
  4. Combination of factors

Symptoms

  1. Rubbing eyes
  2. Fluctuating vision
  3. Frequent change of glasses
  4. Red eyes
  5. Blurry vision
  6. Increasing Astigmatism
  7. Headaches
  8. Difficulty driving at night
  9. Learning Disability
  10. Intolerance to contact lenses
Corneal-Cross-Linking-Histology-showing line of demarcation

Corneal-Cross-Linking-Histology-showing line of demarcation

Diagnostic Tests for keratoconus

Pachymetry maps,

color corneal topography,

Ocular Coherence Tomography,

manifest and cycloplegic refractions.

Slit Lamp exam of cornea and lens

Fundus exam

 

Treatment Planning in Keratoconus Managment

Dr. Khanna analyzes the various specialized tests. The Doctor than custom designs a treatment plan for you which may include Intacs corneal ring segments, FDA approved Corneal Cross Linking, Intracoular Implantable Lenses, Laser Astigmatism correction (in selected few) or even DSEK/Corneal Transplants. This treatment plan is based on the recommendations of The roundtable of Global Keratoconus Experts on Treatment of Keratoconus.

The helpful staff will also work to see if your Medical Insurance will contribute towards treatment of your Keratoconus disease. Affordable no interest payments over 36 months will help you seek the best treatment option with a Keratoconus treatment master.

Call  310-896-4944 to learn more or read on about the latest in Keratoconus treatment and see how people have benefited from services of Keratoconus author and App creator Dr.Khanna. You can even download the #1 app on Keratoconus treatment for FREE

Keratoconus Treatment depends on your age and state of the disease”  Keratoconus authority Rajesh Khanna MD…

Color Corneal Topography or “Shape Map” – and  Ocular Coherence Tomography Pachymetry or “Thickness Map” help diagnose Keratoconus.

See that beautiful color map above? That’s just one of the diagnostic tools to detect Keratoconus. The red color is indication of protrusion of the cornea.. It means the red colored area is very steep or highly curved and pushed forward.

When you visit a doctor for eye glasses they may not perform these advanced tests. You may be diagnosed with only astigmatism. The Best Keratoconus Doctors recommend that all kids around puberty should have a color map exam. Especially if there is high astigmatism or frequent change of glasses.

If you have a family history of Keratoconus the top experts say you should have these exams to screen for keratoconus eye disease. If you are a keratoconus sufferer, than your immediate family like brother and sister should undergo tests to detect this corneal disease.

Coming back to your struggle with vision. Glasses don’t work. Contact lenses are very expensive. Every year you have to spend more and more money on them. Rubbing of the contact lens against your cornea causes irritation,redness and sometimes pain.  Lets explore the modern treatment for keratoconus. Lets learn which treatment may improve your vision and can the disease be cured.

Modern Advanced Treatment of Keratoconus

Intacs corneal ring segments help decrease the asymmetric bulge of the cornea. These PMMA plastic segments help stretch the cornea. Hmm, a little difficult to comprehend?

Lets say we played a tough game of tennis . Sweaty shirt. Put it into the washer and dryer. Tired so forgot to fold. Next morning it is wrinkled. The wrinkles are elevations of the shirt. Its as if the shirt is bulging in that area. We put an iron to stretch the wrinkle and the profusion is history. Intacs also stretch the wrinkled center of the cornea. Keratoconus experts can sometimes see these wrinkles on slit lamp examination.

Intacs ring segments can be done at any age. If you are a teenager reading this, you may be a candidate. What if you are someone in their fifties? Intacs for keratoconus treatment is still a good choice. Intacs placement can also be combined with corneal collagen cross linking. It has been succefuly done in conjugation with (ICL) Phakic Intraocular collamer lens, PIE or presbyopic Implant in eye.

  Keratoconus Expert Explains Cornea Collagen Cross Linking.

  • Cross linkage of the cornea should be offered to all detected with Keratoconus. The sooner progression of keratoconus is halted the better it is. There is more effect of treatment in teenagers. After 45 years of age the effectiveness is less.
  • CXL can be performed as early as 10 years of age. The parents of young kids are scared to have treatment performed on their children. It is fruitful to understand that cross linking of a keratoconus cornea can SAVE VISION.
  • A keratoconus Specialist performs CCC (c3) or Corneal Collagen Cross linking. An expert in keratoconus management understands the nuances of treating  with chemicals. The safety of the cornea and eye is paramount.

Epithelium Off Corneal Collagen Crosslinking (CXL) Treatment for keratoconus

The superior way to perform cure of keratoconus

Indications for Epithelium Off Corneal Collagen Crosslinking (CXL) Treatment for keratoconus

  1. Keratoconus in Children above age 12 years
  2. Progressive Keratoconus in adults with increase in steepness of Cornea more than 1 Dioptre.
  3. Accelerated thinning of Cornea
  4. Post lasik bulging of cornea

Exclusion Criteria:

Procedure of Epithelium Off Corneal Collagen Crosslinking (CXL) Treatment for keratoconus

  • Anesthetic eye drops instilled
  • Epithelium removed
  • Riboflavin eye drops introduced
  • Penetration of riboflavin into the eye confirmed
  • UV-A Radiation delivered
  • Therapeutic bandage lens applied

Followup

  • Patient seen next day
  • 3- 4 days later to confirm healing with no infection
  • 4 to 7 days to remove the lens
  • 1- to 3 months thereon with topography

Contraindications

  • Scarring of cornea
  • Cornea thinner than 400
  • Severe bulging

Advantages

  • Uniform penetration
  • Stronger effect than epithelium on CXL
  • Line of demarcation on ocular coherence tomography shows deeper uniform effect.
  • May still be performed if C3R/Epi on show no effect.

Side effects

  • Delayed epithelium healing
  • corneal edema
  • infection
  • haze

Please note. In the United States FDA has not approved cxl but is reviewing studies of Epithelium Off Corneal Collagen Crosslinking (CXL) Treatment for keratoconus. This writeup is for educational purposes only. It should serve as a basis for discussion with your keratoconus doctor. Various studies differ in the concentration of riboflavin, intensity and exact duration of uv application. Researchers are looking into chromatophores other than Riboflavin, varying wavelength of UV light.

This gentleman drove from Sacramento. Others have flown in from Germany, Mexico and India. 

The Keratoconus Treatment App is for you!

Trust us to help in your journey to a better vision. Consider us your friend. This app will be your trustworthy guide.

Keratoconus  — Intacs Implants improve vision

keratoconus-intacs implants have helped numerous people in Los Angeles suffering from Keratoconus. Keratoconus, myopia, and astigmatism cause patients to suffer from distorted vision. Intacs can improve vision for patients with any of these conditions.
Intacs are tiny clear plastic inserts – shaped like semi-circular rings – that can be implanted within your cornea to correct refractive errors, including myopia and astigmatism. Intacs are also commonly used to improve the vision of people suffering from Keratoconus.

Keratoconus  — Intacs Implants for treatment of Keratoconus

Treatment of Keratoconus with Intacs

Keratoconus is a progressive disease that can change the shape of your cornea in one or both of your eyes. Keratoconus causes the corneal tissue to degenerate, eventually transforming the spherical shape of your cornea into a more cone-like shape, which bends light incorrectly.

If you have keratoconus, you are probably all too familiar with the frustration of having to change your prescription almost every time you visit your eye doctor. On top of this, contacts and eye glasses may not be able to correct your vision forever.

Keratoconus-Intact implants correct vision by flattening and reinforcing the corneal tissue of your eyes. Dr. Khanna can perform this FDA-approved treatment within 10 short minutes. On average, Intacs improve vision two lines or more on a vision chart. If your keratoconus continues to progress, your Intacs can be removed and replaced with different sized Intacs to further stabilize your vision.

Intacs for Myopia and Astigmatism

Myopia (nearsightedness) and astigmatism are two of the most common eye disorders, often occurring together. If you have mild myopia and/or astigmatism, Intacs can successfully correct your vision, solving the need for glasses and contact lenses.

During the Intacs procedure, Dr. Khanna will make two very small tunnels in the corneal tissue, just outside of the central vision zone. The Intacs will be inserted inside of the tunnels to correct the shape of your cornea. Depending on the level of correction needed, thicker or thinner Intacs can be implanted.

Intacs are a simple, transformative innovation that can grant clear vision to patients with keratoconus, myopia, or astigmatism. 

 

Procedure: Keratoconus Eye Surgery

 

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Improve your vision,looks and life.