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Post Info TOPIC: The TRUTH about Keratoconus


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Date: Wed Jan 26 1:11 PM, 2005
The TRUTH about Keratoconus
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I am starting this new topic so that the truth about keratoconus can be highlighted if the question of truth regarding keratoconus is in question.....



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Date: Thu Jan 27 6:10 PM, 2005
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Just a small point....but it may help some of you guys....It seems to me that there is evidence that once the cornea has been flatted by either ferrara rings or mini-ark that over time the cornea puts on more thickness.....I have heard of reports of thickness increasing after ferrara rings and mini-ark....


So it seems to me that once the cornea is perminately kept flat...that the thickness increases...to me this could be due to the fact that the factors needed for the thickness to increase is, may be passed more easily from the eye to the cornea as both are in more closer contact with each-other, and due to the cornea fitting more tightly on the eye....


All I know is this is a big plus for these new treatments as opposed to the old treatments for kc....


 



-- Edited by QuintriX at 00:24, 2005-05-23

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Date: Sat Jan 29 4:09 PM, 2005
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Also people seem to think that they can wear contacts and still may be in the future go for a new kc treament....well, you have to understand that if you have centeral scarring due to contact lens wear, this may put you at risk of not being able to have the new kc treatment due to the scarring still effecting your vision...and so the new kc treatment will not be effective or not able to be done.. 


Also you may think that mini-ark could be done after you have tried intacs/ferrara rings as they are reversable treatments, if they don't work for you...but you must remember that the scar tissue (the tunnels were the rings go in) left over after the rings have been taken out, will make it harder to flatten the cornea with min-ark as the force of mini ark working (as it flattens the cornea) is stoped by the tunnels left by the rings...


So you must remember the sequence of events needed to reach the best option for you when it comes to a new treatment... 

 

-- Edited by QuintriX at 00:24, 2005-05-23

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Date: Sat Jan 29 5:52 PM, 2005
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Good morning!
I found this new forum some days ago and this is my first message.
I like the spirit of this forum and i hope that it will be able to last and to allow the truth to come evident.
I want to confirm that the corneal thickness will increase after some time post Mini ARK. I have performed several hundreds of Mini ARK and I have always seen such an increasing after two or three years.
Mini ARK is not, obviously, a miracle but it is a wonderful technique able to stop the KC progression and to restore a good visual function. In order to obtain these results we have only to perform surgery as soon as possible because the earlier we operate and the better the outcome will be. Some people is scared to have surgery on their eyes when they still have a sight that allow them to live a normal life but the problem is that many times they can such a life only using RPCL, and we know, on the other side, that contact lenses will get their KC progression faster and faster.
I think that the only way to let these people understand this, is to share information.
We, as doctors, can do our part of this job but the major part will be done from people who underwent surgery and will be able to say how they are living after surgery.
This is the way you are showing and you will have all my cooperation.
Dr. Marco Abbondanza

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marco abbondanza


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Date: Sun Jan 30 3:32 PM, 2005
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quote:


"Also you may think that mini-ark could be done after you have tried intacs/ferrara rings as they are reversable treatments, if they don't work for you...but you must remember that the scar tissue (the tunnels were the rings go in) left over after the rings have been taken out, will make it harder to flatten the cornea with min-ark as the force of mini ark working (as it flattens the cornea) is stoped by the tunnels left by the rings."


Hi Sajeeve,


I was just wondering how you arrived at the above conclusion. Are there people who have had ferrara rings or Intacs removed and subsequently went for Mini Ark and had this experience? Or is this advice you have recieved from one of the two known Mini Ark doctors?


best regards,


Michael Coughlan.


 



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Date: Sun Jan 30 8:20 PM, 2005
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Hi Mike....


The simple answer to that is both....you may find it benifical to ask people who at first hand know about this also....I have just had the chance to understand the finer points by talking to people in the know in person....


Catch you later....


 



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Date: Mon Jan 31 11:23 PM, 2005
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Hi Mike I can confirm what Sajeev said,I have operated several patients who have removed the intacs or Ferrara Rings.


 They came to a visit in my office ,becouse they have noticed that the immediate visual improvment they had achieved for a certain degree of central corneal flattening, was over from 1 to 2 years after the implant.


The effect of the intacs and Ferrara rings is an "explosive effect"very similar to the Keratoconus progression with thinning and widening of the cornea due to the stretching effect of rings,but with an initial central cornea flattening effect that carries a moderate correction of refractive miopic error common in many K.patients


I can remind to you that, till to day, the only surgical "implosive effect" is achieved by ARK-mini-ARK.


Take care Prof.Massimo Lombardi



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Prof.Massimo lombardi


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Date: Wed Feb 2 12:09 AM, 2005
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Hi Dr Lombardi and Sajeeve,


Thank you both for your response. Would it be possible Sajeeve to get these patients that Dr Lombardi is talking about and to whom you have spoken, to give testomony about their mini ark experiences versus ferrara rings/intacs on this forum.


 


best regards,


Michael Coughlan.



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