All of us Vs Keratoconus


Members Login
Chatbox
Please log in to join the chat!
Post Info TOPIC: Possible post x-linking treatments


Executive

Status: Offline
Posts: 437
Date: Sat Mar 18 6:24 PM, 2006
Possible post x-linking treatments
Permalink   
 


Hi,

I'm currently starting gathering information on what are the possible treatments after x_linking that might improve vision? I have in mind things like

- Intacts
- Implants
-...

And of course I am talkiing about corneas far too gone in KC to be improved by glasses after x_linking. So my questions is: are these treatments technically possible after x_linking, say in 6 months or in a year? Does somebody do it? can do it?

Thanks for your comments!



__________________
yarsky
Anonymous

Date: Sun Mar 19 3:43 AM, 2006
Permalink   
 

There is a lot to write on this topic... really its a lot...


I think to stop the thinning of the cornea as it gets streached with Intacs, that its best to do X linking before... when it comes to Intacs.


X linking before Lens Implants is also a good idea i think...


Mini-ark... there are three things I am thinking with this...


1)...as the outer part of the cone regress's once x linking has been done ...the left over part (the width) of the cone after x linking is less (but stickes out about the same or less)... so mini-ark only needs less work to do, to flatten? 


2)...or how will the cornea respond to the incisions after x linking?...


3)...or is it best to be mini-ark and then X linking?


The thinking on all this is very new... but i'm sure we will get more input about this... 


...But certainly Intacs can be done after x linking I am told... but I do hear a good portion of people taking them out too... although if you go to a very experianced Intacs Surgeon I'm sure the "experiance" plays a big part in what the results are!



-- Edited by QuintriX at 04:15, 2006-03-20

__________________


Senior Member

Status: Offline
Posts: 122
Date: Sun Mar 19 6:05 AM, 2006
Permalink   
 

I have been told, for the condition of my eyes anyway, that it is intacs first then x-linking.

__________________
Anonymous

Date: Sun Mar 19 2:42 PM, 2006
Permalink   
 

There is just too much, like i said before, to write about the different senarios...


Anyway I was wondering if there was a differance seen in which way round it is done?


As for Yarsky, I think since he wears no correction at all he wants to keep the vision (for the first instance) he has and possibly get some more, with x linking. As he still has the option to choose more correction with Intacs later if he chooses too, for what i understand he gets by fine now. So i think it depends on what vision you have to start with and so X linking a lone may be enough for individuals that don't need more correction and so doing x linking first would be best for them.


The fact that intacs streaches and already thin cornea would suggest to me that if the cornea can be strenghtened before the insertion of Intacs it will stop the cornea getting more thin with the streaching which is involved with the placement of Intacs.


I think at places which do Intacs with x linking they do both at the same time mostly, if you want both (x linking after Intacs placement at the same visit


Did they tell you why its best for you to have Intacs first at all (and not the other way round), Chris... or is that just the way its being done?...


i know if you wear contacts that it may well have to be Intacs to get the correction you need to get out of contacts... but which way round with the x linking? I think get a few different opinions from people who has seen the differance i think...



-- Edited by QuintriX at 15:48, 2006-03-19

__________________


Veteran Member

Status: Offline
Posts: 53
Date: Sun Feb 28 7:25 PM, 2010
Permalink   
 

In Budapest I am involved in a study on the Artsybashev keratotomy technique post-CXL. Those who were cross-linked must wait a minimum of 6 months before this procedure. Possible candidates should have a central corneal thickness of at least 325 microns.

Peter
drgoren@hotmail.com

__________________


Veteran Member

Status: Offline
Posts: 35
Date: Tue Mar 2 3:08 PM, 2010
Permalink   
 

Any details on that method as well? :)
thank you!

__________________


Veteran Member

Status: Offline
Posts: 98
Date: Tue Mar 2 4:54 PM, 2010
Permalink   
 

Hi yes what is that method about? *me curious* I got one eye CXLed since one year ago with approx 400 microns left and according to me still too much cylinder and irregularties to use glasses for that eye. So I am also looking around for options :)

Br Henrik.F

__________________


Veteran Member

Status: Offline
Posts: 53
Date: Wed Mar 3 2:23 PM, 2010
Permalink   
 

This is a special surgery performed in Budapest by Academician Dr. Artsybashev. A number of incisions are carefully placed at strategic locations on the cornea. CXL is not a prerequisite as the surgery itself is effective in halting the progression. The procedure can significantly improve vision.

The work is very precise and requires cuts made in a special way on affected areas of the cornea without perforations. The doctor describes it as operating on "cellophane". It requires many years of training and a great deal of focus and skill to safely perform these operations.

With his technique Dr. Artsybashev has been able to spare patients from corneal transplants even in some extreme cases with central leucoma and scarring. To the best of my knowledge nobody else is having this level of success with severe advanced stage IV keratoconus patients.


Peter
drgoren@hotmail.com


__________________
1 2  >  Last»  | Page of 2  sorted by
 
Quick Reply

Please log in to post quick replies.

Post to Digg Post to Del.icio.us

www.kcfreedom.org

Knowledge Works