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Post Info TOPIC: PRK and cross-linking treatment


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Date: Mon Aug 18 5:28 PM, 2008
PRK and cross-linking treatment
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Hello everyone,

First of all I want to thank the creators of this forum and all those contributing - I'm sure you have given hope to thousands and provided a great support.

I have been meaning to write on here for sometime but I've been slack, anyway I hope this helps.

I'm a 29 year old from New Zealand, I have been wearing glasses since about 16 and was diagnosed with KC at 23 years of age. Since that time the KC in my eyes has at times got worse and at times stabilised. Recently my right eye had been deteriorating rapidly, sometimes getting worse by the week.

Glasses were nearly at the end of helping my eye sight, particularly in the right eye. It was the Optometrists opinion that I was heading towards hard contact lenses. So I decided to do something about it, I have been looking at various storys and treatments that people have written about from this site. Plus I tried to research through the web by gathering info from search engines etc.
Eventually I decided to go for the Laservision PRK and cross-linking treatment. Any surgery has risk, cross-linking included. It has only been done for about 10 years so while it appears safe we don't have a whole lot of historical data. Anyhow, I decided it was worth it.

I opted for the PRK as well because my cornia's were thick enough -
462um for right (thinnest point)
470um for left

The treatment gave the opportunity to improve vision through the PRK lasering.

I had the treatment done on the 8th of July in Athens, so it's been about 6 weeks since surgery. I am extremely happy with the outcome!!!
I had an eye test done last week and could read better than 6/6 (metres) on the eye chart, close up vision is great as well. Saying that I still get ghosting and vision at night is a little harder than in the day because of the ghosting/halos around lights. This may settle down, or the Dr said some minor lasering in a few years can help reduce it. Anyway, I can't complain.

I haven't had any post op haze as yet. However currently I have to see the local optometrist again soon because the Maxidex eye drops (cortisone) raised the pressure in my eyes so I was changed to flucon to reduce it, which has worked - need to monitor it though.

There's more I can say about the experience so maybe I'll try to expand upon it later, also I will post the orbscans pre & post op.

Nick

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Date: Tue Aug 19 4:00 AM, 2008
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Nick:

Thanks for sharing. A few questions for you:

1) Who performed the procedure?
2) What was the cost?
3) Did you have both eyes done at the same time?

Again, thanks for passing along your experience!

Mario

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Date: Wed Aug 20 9:33 AM, 2008
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Hi Mario

1) I had the procedure done at the LaserVision centre by Dr Kanellopoulos

2) The cost is Euro4500 per eye which includes the cross-linking and lasering - but you will need to confirm with the centre

3) Yes, I had both eyes done at the same time

You had Intacs put in a fews years ago, how is your eye sight now?

Nick

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Date: Wed Aug 20 12:01 PM, 2008
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Hi Nick good to hear that your on the mend !

How long ago did you do the treatment ? The reason i ask is because CXL alone takes six months to settle, its looks like its a success because your uncorrected vision has increased already ? enough to get around/drive during the day ?

i hope you more improvments to come

The very best to you

K



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Date: Wed Aug 20 1:41 PM, 2008
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Hi Kane, thanks for your encouragement

I had the treatment done on the 8th of July so about 6 weeks ago. From the stories I read of people who had CXL, I was expecting to be out of action for some time, like no driving etc while the cornia settles down. I was even going to postpone university study until later next year while the healing took place.
But I can see very well, driving around at night is even no problem although the ghosting is worse at night. I dont require any visual correction. Dr Kanellopoulos said before the surgery that my right eye would most likely still need some correction through the likes of a soft contact lense, but this eye is now achieving slightly better than 20/20 with the eye chart.
Straight after the surgery I could already see much better, I guess from the laser correction.
The only complication I've had has been the raise in eye pressure but this looks ok now with the change in medication.

I have attached the scans of my eyes immediately before surgery and 1 week after - the image to the right shows the difference, significant flatting can be seen.

Cheers

Nick

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Senior Member

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Date: Thu Aug 21 12:14 PM, 2008
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Hi Nick, best wishes to you, thanks for posting your topos.

I hope you can now study with out KC getting in the way. Many people struggle with KC until it weighs them down, you have got off that wheel

...congratualations !

Keep up with your routine check up's as usual. like everyone else should, and I think you can expect some more improvements in vision.

Please let us know how your doing from time to time, as it will give us a boost to know !

Best regards



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Date: Thu Aug 21 2:35 PM, 2008
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Nick:

Thanks for sharing that info. My intacs have helped, with some flattening and improved uncorrected vision. My tolerance for contacts has improved and I bounce back and forth between a soft toric and hybrid lens. I've not had any problems with the intacs, though they have not been a panacea.

I'm interested in CXL and PRK or CK because I REALLY want to get out of contacts and at least get back to glasses full time and put a stop to any further progression.

Again, thanks for sharing your experience!

Mario


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Senior Member

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Posts: 124
Date: Fri Aug 22 3:58 PM, 2008
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Hello Nick,

I have performed the same treatment with you.Your pentacam topographies before and after are amazing.Just amazing.Dr Kanellopoulos is something unique among doctors.

In my opinion he has created the best treatment for Kc as we speak.Collagen crosslinking as a safety net and the limited Topography guided PRK for clear unaided vision especially perfect at daytime.Frankly i can say it is like a cure.

My vision acquity is now 20/30 left eye day and night,20/25 right eye day and night without correction.The only thing is that at nightime due to poor lightening i have aberrations from the remaining astigmatism that can be easily corrected with glasses.I havent got any though since they dont disturb me so much.

Also,the vision quality and the liveness of everything is something to talk about it for years.This makes you very happy in my opinion.

All the best,

P.S Nick thank you so much for sharing with us your story and please keep us posted.Together we stand and by sharing our views and opinions we can take action to solve the problem of kc once and for good.



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