BEST Treatment for Keratoconus for your eyes
Dr.Khanna is a cornea and refractive surgeon. He uses the latest FDA approved technologies to stop the progression of Keratoconus eye disease, as well as enhance your vision.
The path to good vision begins with a detailed history and a thorough, advanced exam. This includes documenting the power of the eye, the glasses prescription and the contact lenses. A detailed wavefront map of the power of the cornea, as well as the wavefront map of the entire eye is obtained.
Age 10 to 21 years
Cornea Collagen Crosslinking with Riboflavin
Keratoconus surgeons have a dictum - "If you see a child with Keratoconus eye disease, do epithelial off cross linking with Riboflavin right away.'
Intacs Corneal Ring Segments
These help decrease myopia and astigmatism. Since they can be exchange or removed, they allow adaptability to a growing eye.
Glasses, soft contacts, toric contact lenses.
Glasses, soft contacts, toric contact lenses are options for better vision wheile cross linking is being done and the progression of the bulging of the eye is being arrested. Hard contacts need to be avoided. Scleral contact lenses may not be required as flattening induced by cxl will allow sot lens use.
Age 21 to 45 years
CXL or C3R
The first step of corneal cross linking is to strengthen the cornea and halt the progression of further bulging of the cornea. In advanced cases, rapid intervention is essential. In early to moderate cases, the progression may be documented before doing this procedure. CXL can also be combined with Intacs in a single sitting, but this is usually only done for the patients who come from far distances.
Intacs are very useful for counteracting myopia and astigmatism> They improve the wavefront diminishing higher order aberrations.
Yes you can see
This implant is place over the natural lens. it can correct most of the myopia and astigmatism even in thinner corneas. The results are quick and the cortnea can still undergo crosslinking before or after ICL implant.
A little enhancement
PRK with astigmatism correction is referred as PARK. This technology is employed in very selective cases. Low myopia and most of astigmatism can be treated either at time of cxl or around six months after cxl. This yields great vision with many seeing 20/20.
Age above 45 years
A permanent procedure
PIE, or presbyopic implant in the eye, can correct any error of refraction, including astigmatism. A Symfony IOL, or a Trulign IOL implant (this is more commonly used) is positioned accurately to yield an optimum, glasses free result.
CXL if necessary
CXL is reserved only if progression is documented by topography or thinning is noticed on corneal pachymetry. This is more likely to occur in Pellucidal Marginal Degeneration.
Photo Astigmatic Refractive keratotomy
PARK can be used like in the other age group or after PIE.
INTACS still an option
INTACS can work to decrease the higher order aberrations allowing people to drive comfortably at night.