The main advantages of C3R technology are as: Simplest procedure; Permanently stops the progress of Keratoconus disorder If your corneas are so distorted that your vision is very difficult or not useful, you may need some surgical correction. Corneal cross-linking: This procedure involves strengthening the corneal tissue to halt the bulging of the eye’s surface. In such a situation, rigid contact lenses provide better vision up to a stage after which corneal surgery is required. However, I have noticed that despite leaving the epithelium in situ, healing is much slower after this procedure compared to epi-off C3R. Risk factors include - Eye rubbing, Family history, Genetic predisposition , … As a result, the shape of the cornea us maintained, the pressure inside the eye is regulated and there is no obstruction in vision. Trans-epithelial C3R or epi-on C3R – here we use special Riboflavin which can penetrate through epithelium and do not remove epithelium, rest of the protocol is same as above. As far as lasik is concerned,the visual recovery is likely to stabilise within 6to 8 wks. Complications from the procedure, as described in this consent form, are possible. Once the C3R procedure is done, surgeon places a soft bandage contact lens on cornea. The doctor suggested a SMILE lenticule assisted C3R for left and a normal one for right. Title of your query is keratoconus but your query is about lasik. Next follow up check after 3 months during which we check the Topography maps as well. I was first diagnosed with keratoconus at the age of 16. According to Aaron, the prospect of losing his full eyesight left him feeling defeated. C. Visual stability or improvement is not guaranteed. Keratoconus may progress for 10-20 years or even longer. If keratoconus continues to progress after the Intacs are inserted, a corneal transplant may be necessary. Both eyes are usually affected but not to the same extent. If Keratoconus is left untrea t ed or the treatment is delayed, then it can severely affect patient’s vision. D. C3-R is not risk free. We will seen within a week you soon after the procedure to remove the contact lens.You will then … Keratoconus can be detected clinically by slit lamp examination by an Ophthalmologist and the diagnosis can be confirmed by corneal topography. First post C3R follow up the next day of procedure and the next one after Day 4. You need to be in Mumbai for these days (4-5 days post C3R) 2. C3R or CXL is a promising treatment to arrest the progression of Keratoconus. C3R treatment. C3R – Keratoconus Treatment in Delhi. We have over 4 years experience with C3R; results have been very promising with the slowing or cessation of keratoconus progression in 100% of eyes. It refracts the light entering the eye onto the lens, which then focuses it onto the retina. It can also make keratoconus progress faster if you already have it. Keratoconus Treatment in Delhi The cornea is the clear surface at the front of the eyeball. To manage his keratoconus, Aaron had to wear a scleral contact lens in his right eye and a rigid gas permeable lens in his left eye in addition to his glasses. C3-R TREATMENT (Corneal Collagen Cross Linkage with Riboflavin) It is a disease of an uncertain cause with an unpredictable course. Please consult your operating surgeon for your case ,as he is the best person to judge. Re-treatments may be necessary, but ther-treatments will be e is no guarantee that re Corneal Collagen Crosslinking with Riboflavin (C3R Treatment) or CXL, is a one-time application of riboflavin eye drops to the eye that has shown great results in treatment for Keratoconus. Therefore need to consult Keratoconus Specialist regularly. The C3R Treatment is a ray of hope for lacs of Indian Keratoconus Patients, who, before the launch of this advanced procedure, were resigned to the vagaries of fate. I often wondered about that later because he also determined that my keratoconus would progress and my corneas would be very bad by the time I turned 40. My Keratoconus or ectasia could still progress and I may still need corneal transplant. Keratoconus generally begins at puberty and progresses into the mid-30s. If applied early, cross-linking typically will stabilize or even improve the shape of the cornea, resulting in better visual acuity and an improved ability to wear contact lenses. ... Dr. Brian invented the Holcomb C3-R ® - a non-invasive 30-minute, in-office procedure to better and safer for people than CXL which requires disruption of the epithelium. Ans. Corneal cross-linking is most effective if it can be performed before the cornea has become too irregular in shape or there is significant vision loss from keratoconus. Most importantly, they do not arrest the progress of disease. Was there any amount of keratoconus. Wait until your 3 month check-up and you should see a … Therefore need to consult Keratoconus Specialist regularly. It is not uncommon that a prescription that worked wonderfully one year, will suddenly be not as sharp the next year. The average amount of topographic improvement we have observed is about 2 D. Operating on patients with pre-op thin corneas should be avoided. The result of c3r may take more time ie approx 6 months or so . This method was introduced … There is no way to predict how quickly the disease will progress, or if it will progress at all. Mild to moderate keratoconus can be treated with eyeglasses or contact lenses. Fortunately, we now have a procedure called C3R, that can stop Keratoconus from progressing. The contact lens can be put off after one or two days. Once the C3R procedure is done, surgeon places a soft bandage contact lens on cornea. I spent the next 20 plus years trying a number of treatments because my first cornea specialist strongly discouraged the idea of having transplants at that time. So after CXL one can expect the halting of the progression of keratoconus. Treatment options can be broadly divided into stabilizing the cone and visual rehabilitation. But contact lens fitting of a patient with Keratoconus requires much care and frequent check-ups, because the condition can worsen. It can slow down and pick up again quickly – Keratoconus has a “mind of its own.” (Note: as keratoconus and pellucid are the same disease process, any reference to “keratoconus” on this site also applies to “pellucid” as well.) Keratoconus typically affects both eyes, with one being more severely affected than the other. Even when the vision is best corrected with glasses or contact lenses, it is important to remember that keratoconus can still progress and worsen. It is estimated that eventually 21% of the … The principal aim of this treatment is to stop the progress of keratoconus. C3R is the first and only proven method that has prevented further loss of vision & halted corneal steepening in patients with Keratoconus deterioration. aim of this treatment is to stop the progress of keratoconus. KERATOCONUS MAY PROGRESS FOR 10 TO 20 YEARS OR LONGER. You can get this verified by your ophthalmologist, who may repeat the orbscan and perform other tests, to verify the status of your keratoconus. The contact lens can be put off after … As the disease begins in young adults, it affects the most productive years of life. In some people with keratoconus, the cornea becomes scarred with advanced disease or wearing contact lenses becomes difficult. Find out all about Keratoconus and C3R - what is it, what are the symptoms, what are the treatment options, what are the risks etc. C3-R CXL Crosslinking Fixes your Keratoconus. Last month after much delay due to covid, I finally visited the doctor and got diagnosed with KC in both my eyes with my left eye thickness <400 at about 390. This surgery is recommended when Keratoconus disorder occurs. 3. Stabilizing the Cone: As keratoconus is progressive disorder, it needs to be stabilized or progression needs to be addressed. The C3R on Saturday was a smooth experience, except for a little discomfort here and there. Reported risk factors for ectasia after LASIK include abnormal corneal topography, pre-existing keratoconus, forme fruste keratoconus, or pellucid marginal degeneration (PMD), insufficient stromal bed thickness, high myopia, and age younger than 25 years. What causes keratoconus? 2. In a healthy eye, a dense network of protein fibers, known as collagen, help to keep the strength and the stability of the cornea intact. After the C3R procedure, it is possible that the condition might have stopped progressing. How often will I need to be seen? Keratoconus Treatment (C3R & INTACS) in mumbai. The active period of keratoconus lasts for around 5 years. Once the C3R procedure is done, surgeon places a soft bandage contact lens on cornea and antibiotics are prescribed. But your query is about lasik for right recommended when keratoconus corneal changes are observed for around 5.... Antibiotics are prescribed confirmed by corneal topography clinically by slit lamp examination an! 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