Cornea

Keratoconus Treatment : Corneal collagen cross linking ( C3R / CXL ) can save sight!

Keratoconus: forward bulging of eyes

Keratoconus / Keratokonus is a vision disorder that occurs when the front portion of the eye (normally round cornea) bulges and forms into a Cone shape. It is used to describe a condition in which the cornea assumes a conical shape because of thinning and protrusion. This condition is said to affect both the eyes and usually, affects people in the age  group of 10 to 35 years. Keratoconus treatment on time is very important. Most important treatment being corneal collagen cross linking.

This is how keratoconus look like
Normal Cornea and Keratoconus (KC) Cornea.

What is the cause of Keratoconus ?

The leading cause for this condition is still unknown, researchers think that some people are more likely to get it from birth. About 1 out of 10 people with keratoconus have a parent who has it too. Several things may have a link to this condition:

  • Family history: If someone in your family has this condition ,you have a greater chance of getting in yourself. If you have it , get your children’s eyes checked for signs starting around age 10.
  • Age: It usually starts when you’re a teenager. But it might show up earlier in childhood or not until you’re 30.It can affect people 40 and older.
  • Eye rubbing: Rubbing your eyes hard over time can break down the cornea. It can also make keratoconus progress faster if you already have it .

How does one recognise this disease ?

Keratoconus often starts when people are in their late teens to early 20s. The vision symptoms slowly get worse over a period of about 10 to 20 years. Keratoconus often affects both eyes, and can lead to very different vision between the two eyes. Symptoms can differ in each eye, and they can change over time. it is very difficult to identify the disease in its early stages without scans. Expert doctors can easily identify diseases in its early stages and may recommend scans.

Conical shape of the cornea in Keratoconus
Keratoconus you can see the conical bulging of cornea

The following symptoms must be looked out for to identify keratoconus;

  • Ghost Image
  • Eye Strain
  • Poor Night Vision 
  • Dual Vision 
  • Eye Rubbing 
  • Blurred Vision

  Keratoconus Treatments:

Usually expert doctors always recommend immediate collagen cross linking to arrest the disease. Mild to moderate keratoconus can be treated with eyeglasses or Soft contact lenses may help. But as the disease progresses and the cornea thins and becomes increasingly more irregular in shape, glasses and regular soft contact lens designs no longer provide adequate vision correction. If left untreated the disease may progress to a stage of loss of vision. Cornea transplant is the only option at this stage. it involves lengthy recovery period and high amounts of risk.

Treatment for the progressive keratoconus include:

  •   Corneal crosslinking (CXL/C3R): also Called as corneal collagen cross linking. This treatment strengthens corneal tissue to halt bulging of the eye’s surface in keratoconus. By far this is the First choice of treatment by expert surgeons all over the world. This should be repeated every 7 years.
  • Treatment of Irregular cornea to enhance visual function:- PRK for surface,TOPO Guided PRK, Contoura vision surgery, after which (CXL) is compulsory.
  • Treatment of Astigmatism by INTACS PROCEDURE, KERARINGS & bring some shape & support for cornea. 

There are many additional treatments for this condition and most important being corneal collagen cross linking and it is best to schedule a visit with Dr. Sushruth Appajigowda At Vijaya Nethralaya in Bangalore.

About the Author :

Dr Sushruth Appajigowda, Expert Cataract, LASIK and Cornea Specialist.
Dr Sushruth Appajigowda

Dr. Sushruth Appajigowda is a well-known Cornea, Cataract, and LASIK Surgeon in Bangalore, and the chief Cataract and Refractive surgeon at Vijaya Nethralaya Eye Hospital, Nagarbhavi Bangalore. Known as one of the best LASIK surgeons in the country, he has over 10+ years of experience with multiple platforms of LASIK like ZEISS, ALCON, SCHWIND, AMO, and Bausch and Lomb. He has conducted over 5000 LASIK and over 300 Collagen cross linking procedures. Dr Sushruth is a recognised speaker in various National and International Forums. His expertise lies in choosing the right procedure based on your health requirement. You can schedule an appointment by scanning the QR Below or clicking the link below the QR

Qr appointment link of Dr Sushruth Appajigowda

https://kivihealth.com/iam/sushruth.a.14626/bookslot

        

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