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Post Info TOPIC: Does Anyone Have Any Info on Bochner Eye Institute, Toronto?


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Date: Sat Feb 27 3:22 PM, 2010
Does Anyone Have Any Info on Bochner Eye Institute, Toronto?
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Specifically related to their corneal collagen cross-linking with riboflavin (C3-R) treatment?  I am concerned it doesn't match the treatment developed in Dresdon, Germany.  Any input is greatly appreciated. 

Thanks,

Justin

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Date: Mon Mar 1 4:06 AM, 2010
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I have only heard good things of this clinic in Canada, and yes they do it the right way which has been proven in Europe and before that in Germany.

However there are various ways being studied (matters confused by marketing from one Dr in the states), see below on one study:

J Refract Surg. 2010 Feb 25:1-7. doi: 10.3928/1081597X-20100212-09. [Epub ahead of print]

Transepithelial Corneal Collagen Cross-Linking in Keratoconus.

Leccisotti A,Islam T.

PURPOSE:To evaluate the clinical effects of transepithelial corneal cross-linking (CXL) on keratoconic eyes pre-treated with substances enhancing epithelial permeability. METHODS:Prospective, consecutive, single-masked, paired-eye study on 51 patients. The eye with more severe keratoconus was treated; the fellow eye served as the control. Gentamicin, benzalkonium chloride, and ethylenediaminetetraacetic acid were instilled for 3 hours, then oxybuprocaine for 30 minutes. Riboflavin 0.1% in 20% dextran T500 and oxybuprocaine were instilled for 30 minutes. Finally, ultraviolet A irradiation to the central 7.5 mm of the cornea was applied for 30 minutes, while riboflavin was instilled every 5 minutes. RESULTS:Mean corrected distance visual acuity improved by 0.036 logMAR after CXL and worsened by 0.039 logMAR in the control eyes (P<.05). Safety index was 1.05 after CXL and 0.96 in the control group. Mean spherical equivalent refraction decreased by 0.35 D (less myopic) after CXL and increased by 0.83 diopters (D) in the control eyes (P<.05). Mean apex curvature on tangential videokeratography increased by 0.51 D after CXL and by 1.61 D in the control eyes (P=.16). Mean average simulated keratometry decreased by 0.10 D after CXL and increased by 0.88 D in the control eyes (P<.05). Mean index of surface variance increased (worsened) by 0.9 after CXL and 5.3 in the control eyes (P<.05). Mean endothelial cell density was unchanged. CONCLUSIONS:A limited but favorable effect of trans-epithelial CXL was noted on keratoconic eyes, without complications. The effect appears to be less pronounced than described in the literature after CXL with de-epithelialization. Copyright 2010, SLACK Incorporated.



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Date: Tue Mar 2 3:06 PM, 2010
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In their site, it seems that they perform the classical CXL (epi-off) and not the C3-R (epi-on) method.
http://www.bochner.com/services_keratoconus.php

There are many controversial findings on the C3-R method at least for the moment

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Date: Tue Oct 5 2:08 AM, 2010
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I  had my CXL at Bochner.  I've had a great experience.  If you need more info let me know.

Cheers,

Art


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Date: Sat Dec 11 2:17 AM, 2010
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Hello Art;

I have a mtg at Bochner in Toronto for my 15 year old son who has Keratoconus in both eyes.

How was your experience?   Did your vision improve at all?

many thanks
Brigitte

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Harrison


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Date: Sat Dec 11 11:33 AM, 2010
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Hi Harrison,

You may want to private message them (if you cliick on their profile you can do it from their) as they should get an alert sent to their email, since people usually are on their email more than visiting a site.

You may wat to contact our member called "Joanne" also, as her son has been treated by the same center.

All the best

Sajeev

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Member

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Date: Sat Mar 19 4:55 AM, 2011
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I've had a great experience at Bochner. It's almost been 6 months post treatment and my cornea has flattened a bit :) I'm going back for more testing this month so I'll see how my eye has reacted to cxl.

Did your son get th treatment?

Art

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Date: Tue May 10 10:57 PM, 2011
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I had C3R at Bochner in 2009 and I got an Intac in one right eye.

In the first year, it seemed that my left eye got significantly better. At the 6-month point, Bochner told me that the variation in the shape of my cornea had been reduced some forty micrometers or something like that (it was a while ago). I was familiar with the clinical literature then and knew that such effects from C3R were exceedingly rare. I think Bochner got bad measurements.

It got worse. After a year, I saw little or no difference with pre-op and the ghosting has actually gotten worse since then.

The intac was positively useless and it in fact increased the ghosting in my right eye.

I have consulted with Bochner about it and have been told there is nothing that can be done about it. He says all the ghosting is probably because my pupils got bigger. I guess the next stop for me is getting a cornea transplant but it will be the absolute last thing I do before going blind. I don't trust these doctors.

It is possible that the C3R slowed the progression of my keratoconus. I really couldn't say. It sure didn't halt the progression of the disease.

One thing I will say about Bochner Eye Institute and Yongle Eglington Eye Centre is that they spend a lot of money on making you feel like you're in compassionate, talented hands. They've got great customer service. In fact, Yonge Eglington Eye Centre probably spends even more money on the packaging than Bochner does. At the end of the day though, the situation is this: they know more about your eyes than you do and they want your money. They want to encourage you that your investment in their surgery was a good decision and you'll want to believe it too because you're spending all that money and you really want your eyes to stop being so god-damned lame. If your eyeball fell out during the surgery, Stein would try to make you feel comfortable about it.

The fact is, there is no easy way out of Keratoconus. It sucks and you have to live with it.



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