wouldnt be expecting ectasia in these eyes; theyre usually thicker corneas and we dont remove tissue from the central cornea. Dresden protocol, which involves removing the epithelium before applying the riboflavin solution, and a fairly lengthy exposure to a low level of UV light. You are suffering from reading difficulties (presbyopia)? Check your phone to view the link now! The sophisticated lens technology allowed the lenses to become small high performance devices. If you do cross-linking with the epithelium on in a 35-year-old patient and you document that there wasnt any increase in the keratoconus, that doesnt mean it was because of the cross-linking, he points out. The bottom line is that cross-linking should only be done to corneas that are in the process of getting worse.
Corneal Collagen Cross-Linking - EyeWiki
Surgery Center - Ophthalmologist Zanesville OH Zanesville
Corneal transplants work, but I dont know a single corneal specialist who would rather have a transplant performed on himself than have collagen cross-linking. In five years, their keratoconus hasnt worsened. So far, he adds, we havent determined which patients will end up with a significant improvement in visual acuity, or the optimum means of achieving that. But if patients have developed significant irregular astigmatism that prevents them from seeing well with glasses, they may still need a hard contact lens to improve their visual quality. In many southern Mediterranean patients, such as those we see in Greece, there are coinciding diseases such as blepharitis and ocular surface disease that may also become involved.