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Post Info TOPIC: Who is performing x-linking?


Ophthalmologist

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Posts: 8
Date: Sun May 27 12:46 PM, 2007
RE: Who is performing x-linking?
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The London Centre for Refractive Surgery ( the UKs first refractive eye  surgery opened in 1987)centre performs cross-linking, had the first CE approved IROC unit in the UK and has been performing this treatment for 1 year. I was the first UK doctor to train with Prof Seiler in Zurich after he presented his results at the ESCRS in Lisbon. My experience is that it works so long as certain guidelines are followed. All of my patients have stabilised or improved.Unaided vision has improved more than K readings because the regularity is improved.
1) Patients should be under 40 and/or unstable
2) Have corneas thicker than 400 microns (although distilled water has been used to thicken thinner ones as the tissue swells
3) The best effects are in the 50-60 D range (beyond 70 it is unlikely to help
4) There should be no central scarring
5) Women should not be pregnant as healing becomes very variable
In combination with Intacs I have seen great improvements and, although I wouldn't call it a miracle cure, if it can greatly reduce the number of grafts needed (currently about 1 in 5) then it seems a no-brainer!The down side is that it hurts for 1-2 days post-op like some laser treatments.However, when I spoke to Professor Seiler and asked him about the risks he said,'Look David, if my own son was diagnosed with it I would have him in theatre the next day!'
One worry has been retinal exposure to UV light, but if the cornea is treated for riboflavin for a full 30 mins and then for another 30mins during treatment and pilocarpine drops are used to reduce the pupil to pinhole size, only 0.16% of UV light  gets to the lens light ,so even less to the retina.
To get the best out of treatment with higher levels of astigmatism I find that Intacs are very helpful but no treatment will be 100% perfect.Teenagers with very agressive keratoconus may need retreatment, but at least C3R has rekindled interest in the condition and given hope that we can treat the underlying cause. It's been very satisfying to be able to help people who phone up tearfully having just been diagnosed, and then prevent what they fear and often improve them.
Finally, it really feels good to be able to get at the under


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London Centre for Refractive Surgery, 15 Harley St
London W1G 9QQ www.LCRS.co.uk


Newbie

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Posts: 1
Date: Mon May 28 6:52 PM, 2007
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Hello Everybody :)
I've got guestion. I'm only 15 years, but in my eyes are detected KC (in right bigger). My Kc is not verry big. Now I wear limps lenses. I thought about x linking, but I account I'm too young.
Could You tell me have I ration?

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Member

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Posts: 23
Date: Mon May 28 11:18 PM, 2007
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Hi Frisson,

My 15-year-old son just had the treatment done in Dortmund.  I believe that Prof. Kohlhaas said they had done an 11-year-old, but I may have that one wrong.

Yes, a lot of places will not do the procedure on patients that young.

I hope this helps.

-Gary

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Ophthalmologist

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Posts: 8
Date: Tue May 29 3:42 PM, 2007
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To complete what Professor Seiler said about his son: he is 14. It seems that there is no limit on the minimum age for treatment.However, there is not much data yet for very young people and I suspect that if you get it young you will be more likely to need further cross-linking in years to come as the collagen cells turn over naturally every few years (not as slowly as bone, but much more slowly than skin).It is also vital to give them the full 30 minutes preparation with the riboflavin as their natural lenses block UV light less well. Maybe that's being paranoid, but having the drops put in for a few extra minutes seems worth it for something that could help for years.
David Jory

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London Centre for Refractive Surgery, 15 Harley St
London W1G 9QQ www.LCRS.co.uk


Member

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Posts: 23
Date: Tue May 29 4:01 PM, 2007
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My son was 14 and it's been two years exactly and we just got the confirmation from our corneal expert that there has been no change whatsoever in his eyes.

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Dina Golan


Member

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Posts: 20
Date: Sat Jul 21 5:15 PM, 2007
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Hello!

has anyone heard of or had experience with: "Barraquer Centro de Oftalmologia"in Barcelona or Dr Jorge Alio at the "Vissum" Clinic in Alicante? My opthalmologist suggested these two insitutions in Spain who she feels may be good places to go for crosslinking. In the case of the Barraquer Centre, a name of a specific doctor was not given. I have yet to get more details from her but would appreciate if anyone here can assist! Thanks!


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Newbie

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Posts: 1
Date: Sat Feb 16 12:56 PM, 2008
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Crosslinking in Warsaw, Poland

http://www.okolaser.com.pl/welcome


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Newbie

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Posts: 1
Date: Thu Apr 24 9:42 PM, 2008
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If somebody is interested about Mexico. I know very soon they are going to start performing x-linking in Mexico. My eye doctor will do in Cancun.

My email is: prauliaak@hotmail.com

thanks.
Paula.

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