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Post Info TOPIC: My crosslinking experience so far


Optometrist

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Posts: 67
Date: Sat Oct 6 12:01 PM, 2007
My crosslinking experience so far
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best of luck with everything Julia, not a great deal I can say except time is a great healer and hopefully this will be doubly true in your case.

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We all love Leeds!



Executive

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Posts: 437
Date: Sun Oct 7 1:19 AM, 2007
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Julia hi! Corneal wound healing is a misterious and a lengthy process. Google on "corneal wound healing";) What happens in our cornea after cross-linking - is just that - specific cross-linking corneal wound healing. We need be patient and wait some time to see the results...Take a look at the latest and much awaited research on this process by Dr. Wollensak, the father of cross-linking

http://www.corneajrnl.com/pt/re/cornea/abstract.00003226-200706000-00018.htm;jsessionid=HLlS8bGRJ7vVMWrJMFQYRQv92MLDpN1ZTMWGHhQ29GLJnQtFLCYc!-73989343!181195628!8091!-1

best,
Y.

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yarsky


Senior Member

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Posts: 124
Date: Sun Oct 7 9:43 PM, 2007
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Hello Julia.

I think time is on your side but the most recent results dont give you a reason to smile.

You said you have post lasik ectasia.By those words i need to tell you that Dr K recently has treated a patient who was a pilot at the american air force.Dr K told me that at my last visit at the institute.The pilot has performed the same treatment with me.PRK and Xlinking.The Americans send them here to visit Dr K.I think that is a great Honor for Dr K.

Anyway,,if you are able find a pentacam device.It has the best elevation maps and accurate K readings.Also,perform an ultrasound pachymetry and tell your doctor if he is able to distinguish a line called ^dermacation line^.This line shows how deep and correct the xlinking is achieved.

I think guys that we all must visit and meet each other at December at Zurich.In my opinion this will make us closer to each other.

All the best,



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jr


Veteran Member

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Posts: 33
Date: Sun Oct 7 10:30 PM, 2007
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Hello Yarsky! The research under that link states that the complete repopulation of keratocytes happens in 6 weeks post-xlinking. Should have already happened in my case. I hope those keratocytes, whatever they are, will help my cornea take the right shape...

Thanks for your warm wishes, lad_from_leeds!

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Executive

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Posts: 437
Date: Wed Oct 10 12:01 AM, 2007
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Hi Julia! Yes but that is not all, I think. The repopulation of the keratocytes is just a part of the process. Keratocytes die under the UV. That is called apoptosis. They come back, slowly, from the so called limbus, an area between the cornea and the eye-ball. But the cornea they come back into is not yet normal. Keratocytes synthesise many things in these extreme conditions: colagenes, proteoglycans,...Nobody, I think, know for sure what happens...This process, that lasts months, is called also corneal remodeling...However, the cross-links induced by crosslinking may change the shape of the cornea almost immediately after the procedure... That will be seen on your orbscans...I know that is the time of worries for you. Do you stay in contact with Dortmund?
Regards,
Y.

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yarsky


Member

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Posts: 20
Date: Wed Oct 10 8:30 AM, 2007
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thanks Yarsky for sharing this with Julia. I still have very blurry vision in my x-linked eye (this Fri marks the 3rd week since my eye was x-linked) I presume this is due to the abscence of keratocytes as you mentioned. Is this normal?



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jr


Veteran Member

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Posts: 33
Date: Thu Oct 11 11:32 AM, 2007
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Thanks Yarsky for the explanations... I've only written to Prof. Kohlhaas some weeks ago, he said vision can be worse for 2-3 months and asked me to be patient. I do not want to bother him as I'm sure he will have nothing to say except "wait some more weeks"..

Bluesfan, yes, blurry vision after 3 weeks is absolutely normal. It's normal for 2-3 months, according to Prof. Kohlhaas, who has much experience in x-linking.

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Phase Two

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Posts: 484
Date: Mon Oct 22 3:32 AM, 2007
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This following is for anyone who is following this thread in the times to come. This data has been brought to us via our friend Julia.

PLEASE NOTE: This graph is for Ectasia Patients (NOT KERATOCONUS PATIENTS)

Points of interest:

1) The accelerating progression in all cases before crosslinking, has been stopped and disabled by crosslinking
2) A very individual healing pattern
3) One person may have got more regulaity or not, other readings is needed to know how happy they are with this in uncorrected vision and corrected vision, i.e. vision can improve even if the topography stays the same in some cases.
4) "Vernetzung" is German for Crosslinking




-- Edited by QuintriX at 03:43, 2007-10-25

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