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Post Info TOPIC: Circular keratotomy
Anonymous

Date: Tue May 3 4:21 AM, 2005
Circular keratotomy
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Circular keratotomy can correct and stabilise keratoconic corneas...says the following link...

Please Click Here

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Fil


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Posts: 31
Date: Tue May 3 3:21 PM, 2005
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Hmmm, I'm not sure ... this technic seems not to be good for the cornea...

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Member

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Date: Thu May 26 11:50 AM, 2005
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Dear friends about circular Keratotomy by Prof.Jorg Krumeich I have some usefull informations.
Two years ago I could speak,during the Barcellona International congress in a lunch, with Prof.Jorg Krumeich, after I attended his very important relation about the necessity of finding new solutions about corneal transplant in Kc. eyes, because the poor results for long term survival of the implant was no more that 5 to 6 years after surgery.
In my conversation with him I exposed my miniARK technique and my long term satisfactory results of over 20 years follow up.
In theese two years some of my german patients have been visited by him after miniARK has been performed so he could see with his eyes my tecnique.
As you can see two years after the cosequence has been a new interesting proposal by him that I will examin with you.
Being an all life dedicated surgeon to corneal transplant he has revised my idea according to his knowledge, at this point we have to do three important considerations 1)he has not resolved with this operation the cause of the patology,2)he has not created an "implosive" method to recover the original curvature and reincrease the lost "thickness" that my tecnique miniARK does,3)he does not improve refraction as my technique does.
But he has for sure created a new method to slow dawn the speed of Kc.growing ectasia.
The tecnique cannot resolve the entire pathology because the ring with titanium can reduce the surface of inner cornea ,where, the intra ocular pressure act 24 hours a day pushing outword a pathologic tissue affected by (the parassite) desease,that has lost its biomechanical normal resistance.
The pressure will work on a shorter corneal diameter,the diameter into the titanium ring,but will ,with a longer time, continue to work 24 hours a day causing a slower progressive ectasia of the inner corneal part alone.
What I find very important about this tecnique related to my tecnique are several main points.
1)I am no more the only"crazy" surgeon that propose on an Kc.affected cornea not only a different solution from the transplant but "to use incisional surgery"(circular) "before the transplant" and not only after the transplant to try to repare impossible, post operative, asigmatisms as my criticizing colleagues admit to do.
2)So that the fairy tails told till to day about compromising the Kc weak affected tissue with worsening incisions schould be over for ever.( becouse to propose it is a corneal transplant reputed surgeon.)
3)An ultraspecialized corneal transplant surgeon of international reputation,propose a new tecnique complitely different also from "lamellar surgery"
and "intacs" in fact his titanium ring is not flexible and will not produce an added "explosive mechanism" to the progressing Kc. ectasia.
4)He stiches regularly the circular incision 360 degrees becouse he knows well that "circular" incision can sleep the inside cornea out and up as a "mushroom head", radial incision will never do it.
I live to you a good pause of reflection about all.
Take care Prof.Massimo Lombardi

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Prof.Massimo lombardi
Fil


Veteran Member

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Date: Thu May 26 1:35 PM, 2005
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KC=parasite????

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Fil


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Posts: 31
Date: Thu May 26 1:44 PM, 2005
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Dear Prof Lombardi,


What parasite exactly means for keratoconus?


What treatment do you suggest? 


Thank you very much for you response.


Phil


 



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Executive

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Date: Thu May 26 8:24 PM, 2005
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This is a very, very interesting link... Obviously many of the techniques used in this treatment are variations on those used by Prof. Lombardi. These same techniques are those that have brought him so much criticism in the past... At the time when I had my Mini ark operation I was convinced of its worth by Prof. Lombardi's in depth straight forward explaination of the procedure, and the science behind it. Obviously this was a leap of faith on my part because the majority of 'Accepted' medical professionals flatly rejected the very basis of his work. This being primarily that corneal incisions on an already weak cornea are a total contridiction.


Finally here we see that a world leading eye specialist, Prof. Jorg Krumeich, one of respect and many years experience is openly proposing just that... I will be watching with great interest to see if the medical establishment is as quick to condeem his work as they did Prof. Lombardi's.


Regards,


Hari



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Fil


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Posts: 31
Date: Fri May 27 10:58 AM, 2005
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I think that the technic of DOCTOR Jorg Krumeich is dangerous.

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Executive

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Posts: 397
Date: Fri May 27 5:16 PM, 2005
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Hi Fil,


You have every right to think so... and you may even be right. But WHY do you think it is dangerous? Your previous answer was kind of brief,


Hari



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