Keratoconus: Corneal Transplant or Cross Linking?

When is it ok to consider Cross Linking?

Keratoconus Cross Linking is meant to slow down the disease progression.
This treatment is suggested for patients that are in the initial phases of the keratoconus, in order to prevent it from worsening. Cross-linking surgery should increase the links between collagen fibrils that cornea is made of, in order to make it stronger and less deformable.

Cross Linking surgery lasts about 1 hour: cornea is numbed with a substance called riboflavin; after that, the cornea is lighted up with A ultraviolet rays.

Cross linking surgery result becomes noticeable after a few weeks or months and an improvements can be experienced even 1 year after this procedure. The goal of the keratoconus cross-linking is not to improve vision, but to prevent it from worsening because the keratoconus progression. Keratoconus cross linking should slow down the disease.

This treatment is suggested for patients that are int he initial phases of the keratoconus, in order to prevent its worsening. Cross-linking surgery should increase the links between collagen fibrils that cornea is made of, in order to make it stronger and less deformable.
Cross Linking surgery lasts about 1 hour: cornea is numbed with a substance called riboflavin; after that, the cornea is lighted up with A ultraviolet rays.

Cross linking with riboflavin can be performed removing the corneal epithelium (epi-OFF) or leaving it intact (epi-ON): this two procedures both have advantages and disadvanages that should be considered in every single case. After cross-linking surgery, it is possible to experience a certain degree of discomfort for at least a couple of days.

Cross linking surgery result becomes noticeable after a few weeks or months and an improvements can be experienced even 1 year after this procedure.

The goal of the keratoconus cross-linking is not to improve vision, but to prevent it from worsening because the keratoconus progression. Dr. Badalà performs keratoconus cross linking treatments in Milan and Catania.

Cross linking complications could be ultraviolet rays damages to cornea, crystalline lens or retina; this is why cross linking should be avoided when the cornea is too thin and keratoconus in an advanced phase.

 

Alessandro Bianchetti, Bergamo (Rogno)

Votazione: Eccellente
I have suffered from keratoconus in both eyes since 1996. In December 2014, after have used semi-rigid contact lenses for years, I underwent a corneal transplant with DALK (lamellar) tecnique, performed by Dr. Badalà in... Keep on reading this review a little more than two hours.

The next day, I didn’t have to wear the blindfold and, despite a slight discomfort due to the light, I already noticed an improvement in my eyesight during vision test with eye chart. Everything went well and in the morning I left the hospital without any bandage.

At first I was very scared because I had thousands of questions in my mind: Will I fell pain? Is it worth it? When will I recover my eyesight? How long will be the convalescence?

I didn’t fell any pain (just a little discomfort during the first week). The stitches (about 16) didn’t give me any problem, as if they were not there.

The only problem is remember to put the different eye drops. Now I see 10/10 with soft lenses and, with a light heart, I will undergo surgery in the other eye in March 2016.

It is absolutely worth it!
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