Posts Tagged ‘cornea’

On-going Studies Prove That Cross-Linking Helps Keratoconus

Wednesday, May 18th, 2011

Keratoconus sufferers can take comfort in the new trials that have found that cross-linking helps keratoconus. Affecting one person in every thousand, this degenerative disease in the eye causes the part of the eye known as the cornea to change its shape from a cone into a curve. This exciting new procedure has been shown to stop that regression.

Keratoconus typically distorts the patients vision and causes them to see multiple images, streaks and to become very sensitive to light. It is typically diagnosed during the early teenage years but is more common in its severity in the next two following decades.

Unfortunately the loss of vision quality can affect the sufferers ability to drive a car or read, and so this condition can serious alter the quality of a persons life. Although both contact lenses and ring segments for the cornea can be enough to cope short term with the condition; a more drastic solution has to be found for the long term, and this can mean that surgery is the only option.

Thankfully leaps and bounds in medical research have allowed a technique known as Corneal Collagen Cross-linking to be developed, and early research has shown that this new advancement can slow down and actually halt the regression of this ailment.

The treatment uses Riboflavin and UVA light to form new, strong bonds with the collagen strands in the corneal layer known as the stroma. After consultation, the procedure is performed under topical anaesthesia. The surface of the cornea is partially gently scratched. This has the same sensation as a foreign body inside the eye and will make the eye a little red. Drops of the Riboflavin solution is applied painlessly into the eye and is then activated by the UVA lighting beamed onto the cornea.

Patients have reported that the hour long operation was very positive and results were pleasing. Afterwards the patient is only required to wear a special eye pad and use antibiotic cream overnight as the corneal surface heals extremely rapidly. Self-administered pain relief can be used for the first 1-2 days as the eye may be a little uncomfortable.

Studies have shown that cross linking is effective in arresting progression of Keratoconus and it has been indicated that that the regression of condition is halted. Clinical trials are still on-going, but these promising early trials show that cross-linking helps keratoconus, and has a promising future for the worldwide treatment of this condition, maybe even significantly reducing the need for future corneal transplantation.

Take a look at some of the new keratoconus treatments at keratoconus treatment and checkout Lasik correction at Khanna Institute

Full Quality Of Life Through Treatments For Keratoconus

Wednesday, April 27th, 2011

Genetics, allergies, Southern Asians and Downs Syndrome are linked to the population affected by Keratoconus, which is a degenerative disease process of the cornea of the eye. A collagen malfunction induces changes in the structure of the cornea from curved to conical resulting in visual impairment. A connection in those afflicted with this disorder has been possibly attributed to allergic disease affecting the eyes that cause some to develop secondary “eye rubbing” resulting in a contributing factor in cornea deterioration in genetically predisposed patients. Treatments for keratoconus can restore 20/20 vision.

Early symptoms may exhibit minor blurring of vision often associated with refractive eye defects. Early diagnosis is often in adolescence. This disorder is often bilateral, but can exhibit asymmetrically. Acuity can deteriorate rapidly at all distances. Photophobia, eye-strain and itching without pain may present. Night vision may be significantly impaired. A classic, definitive clue is the perception of “ghost” images, with image movement noted relative to heartbeat. Patients may be aware of streaking and flaring distortion at light sources.

Definitive diagnosis is accomplished through slit-lamp examination of the cornea. The test with highest accuracy is corneal topography that allows mapping of the curve of the cornea. Topography will identify keratoconus, which should not be treated with laser surgery. Advanced disease is determined by degree of thinning at the point of the cone through a painless examine called pachymetry.

Patients with keratoconus have a good prognosis. Very mild cases may be corrected through glasses or soft contact lenses. Most patients, however, will require rigid contact lenses for the best visual correction. Patients with more advanced disease will benefit optimally from gas-permeable contact lenses, which will maintain their ability to legally drive and read normal print.

Surgery may be necessary in treatments for keratoconus that have progressed. Corneal ring segments restore reshaped corneas for effective use of contact lenses. Experimental corneal cross-linking reduces flexibility of the cornea to stabilize the disorder, allowing follow up with safe correction through laser surgery. More rarely, corneal transplantation may be required.

Corneal transplantation is reserved for those patients with the most severe presentations of deterioration. Results are generally good. Recovery can be lengthy, however, and patients usually need contact lenses. Rejection risk is much lower than other organ transplants.

In the case of young adults that do not have a perfect vision improvement with glasses needs to be evaluated by a specialist in corneal refractory diseases. There is evidence that unaddressed allergic disease with eye involvement can precipitate the exacerbation of this disease and recommend all patients abstain from rubbing their eyes, although the general consensus is that the disease is not preventable.

Rajesh Khanna, M.D. has more reviews and suggestions at his website keratoconus and checkout Lasik correction at Khanna Institute

LASIK, LASEK And LASAK Revealed

Monday, March 8th, 2010

There are three different to use when doing eye surgery; all of them with almost the same name: LASIK, LASEK and LASAK. The three surgery methods can be combined with two extra methods to give an even better result. The names of the two treatments are: Wavefront and Aspheric.

LASIK is the most popular of the methods. It is fast, effective and gentle. And complications using this laser surgery method are very rare. For most people, LASIK surgery will be a good method to improve their sight.

The LASIK operation is painless, and the sight will be improved in only a few hours. There are only a few side effects like dry eyes. The method can be used for near-sightedness until -12 and long-sightedness until +3.

The other surgery method called LASEK (or E-LASIK or ELSA) is great for people, who are only a little near-sightedness or and long-sightedness (from -2 to +2).

If you have thin corneas the LASEK surgery is a great method, because the laser surgery is made on the surface of the corneas. It also more gentle, if you have very dry eyes.

The newest type of laser surgery is called LASAK. The flap, which is cut off, is thinner than when doing LASIK surgery. That saves the corneal tissue and is therefore a better method for people with thin corneas.

The healing time is also shorter with LASAK than the other methods. The risks of complications are lower, and it is almost painless after the operation. The sight will also be steadier and the eyes will not be as dry.

The surgery result can be improved even more, if the methods are used in combination with the Wavefront method. The irregularities on the corneal are measured with a special instrument, and a kind of topographic map is constructed. Finally a computer calculates the correct settings for the laser surgery based on the specific eye.

The Wavefront method gives a more unique measurement of the eye. That gives an improved result and a better night sight. Astigmatism in the eyes will also be corrected in a better way.

Aspheric treatment is the newest step in eye surgery; and is used in combination with LASIK, LASEK and LASAK. The treatment takes into account that the cornea is not ball-shaped; but aspheric.

When using LASIK, LASEK or LASAK without Aspheric treatment, the eye will be more ball-shaped. That gives a reduced contrast ratio and a bad night sight. If the Aspheric treatment is used, the curve in the central part of the eye will be made larger (as it is in an untreated eye). This gives a much better result; sometimes even better than with contact lenses or glasses.

Martin Elmer is the editor of Laser oejenoperation. Here you can also read about Langsynethed.

categories: eye surgery,laser surgery,LASIK,LASEK,LASAK,Wavefront,Aspheric,cornea,short-sighted,long-sighted,dry eyes,complications

The 3 Eye Surgery Methods

Saturday, October 10th, 2009

There are three different to use when doing eye surgery; all of them with almost the same name: LASIK, LASEK and LASAK. The three surgery methods can be combined with two extra methods to give an even better result. The names of the two treatments are: Wavefront and Aspheric.

Because it is fast, gentle and effective, LASIK is the most popular method. There are very few complications, so it will be a good eye surgery method for most people.

LASIK surgery is almost painless, and the sight has improved only a few hours after the operation. The side effects are few; dry is the most common. LASIK can help most people; long-sightedness until +3 and near-sightedness until -12.

For people who are only a little long-sightedness or near-sightedness (from -2 to +2), the LASEK surgery is a great method.

If you have thin corneas the LASEK surgery is a great method, because the laser surgery is made on the surface of the corneas. It also more gentle, if you have very dry eyes.

The newest type of laser surgery is called LASAK. The flap, which is cut off, is thinner than when doing LASIK surgery. That saves the corneal tissue and is therefore a better method for people with thin corneas.

LASAK do also have a shorter healing time than the other operations. There is no pain after the surgery and the risk of complications is very low. The eyes will not be as dry as with the other operations, and the sight will be steadier.

The surgery result can be improved even more, if the methods are used in combination with the Wavefront method. The irregularities on the corneal are measured with a special instrument, and a kind of topographic map is constructed. Finally a computer calculates the correct settings for the laser surgery based on the specific eye.

By using the Wavefront method, the result will be better because of the unique measurement of the eye. The method does also give a better night sight and astigmatism in the eyes will be treated with a better result.

The newest improvement in eye surgery is called Aspheric treatment; which is used together with one of the three surgery methods. The cornea is aspheric and not ball-shaped; something the Aspheric treatment takes into account.

When using LASIK, LASEK or LASAK without Aspheric treatment, the eye will be more ball-shaped. That gives a reduced contrast ratio and a bad night sight. If the Aspheric treatment is used, the curve in the central part of the eye will be made larger (as it is in an untreated eye). This gives a much better result; sometimes even better than with contact lenses or glasses.

About the Author: