Keratoconus

Keratoconus

 We understand how Keratoconus can make your life miserable. We are here to ameliorate your way of life. We care!

“Keratoconus Treatment Options Specialist, Rajesh Khanna, MD personally meets you and also understands your problems with your vision. Count on the Keratoconus treatment specialist, Dr. Khanna, to design a personalized treatment plan which will be the best suited for you.
Keratoconus eye condition is a corneal condition where the cornea is structurally weak, not able to stand up to the internal pressure from the eye and bulges forwards.

Corneal-Cross-Linking-Histology-showing line of demarcation


Why do I have Keratoconus?

1. Hereditary
2. Allergic
3. Eye Rubbing
4. Mix of Combination of factors


Symptoms

1. Rubbing eyes
2. Fluctuating vision
3. Frequent change of eyeglass prescriptions
4. Red eyes
5. Blurry vision
6. Increasing astigmatism
7. Headaches
8. Difficulty driving at night
9. Learning disability
10. Intolerance to contact lenses

Diagnostic Tests for Keratoconus

Pachymetry maps

Color corneal topography

Ocular coherence tomography

Manifest and cycloplegic refractions

Slit Lamp exam of cornea and lens

Fundus exam.



Treatment Plans and Keratoconus Management

Dr. Khanna evaluates the various specific examinations. He then personally develops a treatment plan for you which may include Intacs (corneal ring segments), FDA approved Corneal Cross Linking (CXL), Intraocular Implantable Lenses, Laser Astigmatism modification (in selected few) or perhaps DSEK/Corneal Transplants. This treatment strategy is based upon the referrals of The Roundtable of Global Keratoconus Specialists on Treatment of Keratoconus.
Our helpful staff will certainly also examine to see if your medical insurance policy will contribute in the direction of the treatment of your Keratoconus illness. Budget friendly, no interest instalments over 36 months will help you pay for the very best treatment choices with a Keratoconus treatment expert.


Call 310-896-4944 for more information or read on about the current developments in Keratoconus treatment and see how patients have taken advantage of the solutions of Keratoconus author and app creator, Dr. Rajesh Khanna. Download the # 1 app on Keratoconus treatment free of cost!


Keratoconus Treatment depends on your age and the state of the disease
Color Corneal Topography or “Shape Map”, Ocular Coherence Tomography as well as Pachymetry or “Thickness Map” all help diagnose Keratoconus.
See that attractive color map over? That’s simply one of the diagnostic devices made use of to diagnose Keratoconus. The red color is an indication of a protrusion of the cornea. The red tinted area means the cornea is extremely steep or highly curved and pushed outward.
When you consult a doctor for eye glasses they may not carry out these advanced tests. You might be diagnosed with only an astigmatism. The Most Effective Keratoconus Doctors advise that all youngsters around the age of puberty need to have a color map examination, especially if there is high astigmatism or frequent change of glasses prescription.
If you have a family history of Keratoconus, the top experts say that you ought to have these exams to screen for Keratoconus eye disease. If you are a Keratoconus sufferer, then your immediate family (mother, father, brothers and sisters) need to undertake examinations to detect this corneal condition.
Coming back to your battle with vision. Glasses do not work. Contact lenses are really expensive. Every year you need to invest increasingly more money on them. The rubbing of your contact lenses against your cornea causes irritation, redness and occasionally, pain. Allow us to explain the contemporary treatment for Keratoconus. Let’s learn which treatment might enhance your vision and also cure the disease.


Keratoconus Expert Explains Corneal Collagen Cross Linking (CXL)

– Cross linking of the cornea should be provided to all patients diagnosed with Keratoconus. The earlier the progression of Keratoconus is stopped, the better for the patient. CXL is a lot more reliable in the treatment of teens. After 45 years of age, the effectiveness of the treatment is lower.
– CXL can be performed as early as 10 years of age. Parents are usually worried about the treatment being done on their children. It is beneficial to understand that cross linking of a Keratoconus cornea can SAVE VISION.
– A Keratoconus specialist performs CCC (c3) or Corneal Collagen Cross Linking (CXL). A specialist in Keratoconus management understands the safety of the cornea and eye is paramount.
Epithelium Off Corneal Collagen Crosslinking (CXL) Treatment for Keratoconus – The superior way to treat Keratoconus.

Indications for Epithelium Off Corneal Collagen Crosslinking (CXL):
1. Keratoconus in children above age 12 years
2. Progressive Keratoconus in adults with an increase in steepness of the cornea greater than one Diopter
3. Accelerated thinning of the cornea
4. Post Lasik protrusion of the cornea

Exemption Criteria:
– A cornea thinner than 400 um. For thinner corneas see – Hypto-tonic Riboflavin Collagen Cross Linking
– K readings higher than 60 D
– Central corneal scarring

Procedure of Epithelium Off Corneal Collagen Crosslinking (CXL):
– Anesthetic eye drops instilled
– Epithelium removed
– Riboflavin eye drops instilled
– Penetration of riboflavin into the eye confirmed
– UV-A Radiation delivered
– Therapeutic bandage lens applied

Advantages of Epithelium Off CXL

·        Uniform penetration

  • Stronger effect than epithelium on CXL
  • Line of demarcation on ocular coherence tomography shows deeper uniform effect

Please note – In the United States, the FDA has authorized Epithelium Off Corneal Collagen Crosslinking (CXL) Treatment for Keratoconus. This write up is for educational purposes only. It must work as a basis for conversation with your Keratoconus doctor. Different studies differ in the concentration of Riboflavin, strength as well as specific period of UV radiation application. Scientists are examining chromatophores other than Riboflavin, as well as differing wavelength of UV light.

Modern Advanced Treatment of Keratoconus
Intrastromal corneal ring segments (Intacs) help reduce the uneven bulge of the cornea. This Poly-methyl methacrylate (PMMA) plastic segments help stretch the cornea. Hmm, a little difficult to comprehend?
Let us say we played a hard game of tennis. After your game you remove your sweaty t-shirt and put it into the washing machine and dryer. You’re tired, so you forgot to take it out of the clothes dryer and also fold it, so the next morning it is wrinkled. The wrinkles are elevations of the t-shirt. It’s as if the shirt is protruding in that area. We utilize an iron to flatten the creases and the elevations are history. Intacs likewise stretches the wrinkled center of the cornea. Keratoconus specialists can, in some cases see these wrinkles on slit lamp examination.
Intacs ring segments can be done at any age. If you are a teenager reading this, you may be a prospect. What if you are someone in their fifties? Intacs for Keratoconus treatment is still an excellent option. Intacs placement can additionally be integrated with corneal collagen cross linking. It has actually been successfully carried out in conjugation with Phakic Intraocular Collamer Lens (ICL) or Presbyopic Implant in Eye (PIE).

The Keratoconus Treatment App is for you!
Trust us to help you in your journey to a much better vision. Consider us your friend. This app will be your trustworthy guide.
The gentleman in the video clip listed below drove down from Sacramento. Others have flown in from Germany, Mexico as well as India.
Keratoconus – Intacs Implants Improve Vision
Keratoconus Intacs implants have actually helped various patients in Los Angeles, struggling with Keratoconus. Keratoconus, myopia and astigmatism cause patients to experience distorted vision. Intacs can improve vision for people with any one of these problems.
Intacs are tiny, clear, plastic inserts – shaped like semi-circular rings – that can be implanted within your cornea for the correction of refractive error, including nearsightedness and astigmatism. Intacs are generally used to improve the vision of people experiencing Keratoconus.

Keratoconus – Intacs Implants for Treatment of Keratoconus
If you have Keratoconus, you are most likely aware of the disappointment of getting changes in your prescription glasses, practically every single time you visit your eye doctor. On top of this, contacts lenses and eyeglasses may not be able to fix your vision forever.
Keratoconus Intact implants correct vision by flattening and reinforcing the corneal cells of your eyes. Dr. Khanna can perform this FDA approved treatment within 10 short minutes. Generally, Intacs improve vision two lines or more on a vision chart. If your Keratoconus continues to progress, your Intacs can be removed and changed with different sized Intacs to stabilize your vision further.
Intacs for Nearsightedness and Astigmatism
Myopia (nearsightedness) and astigmatism are two of the most typical eye disorders, often occurring simultaneously. If you have mild nearsightedness and/or astigmatism, Intacs can efficiently correct your vision, doing away with the need for glasses and contact lenses.

During the Intacs procedure, Dr. Khanna will make two tiny tunnels in the corneal tissue, simply outside of the central vision zone. The Intacs will be placed inside of the tunnels to correct the shape of your cornea. Depending on the level of correction needed, thicker or thinner Intacs can be implanted.
Intacs are an easy, transformative technology that can provide clear vision to patients with Keratoconus, myopia or astigmatism.