It is importat to know that in order to achieve the best corrected visual acuity all will depend of the corneal integrity. If there is some nebula (or leucoma) which is inside the visual axis this will affect the visual outcome depending of the extension of it. Sometimes when the lesion is new and the doctors see that he will ask the patient to stop wearing the lens, treat the cornea with a healing and lubrificant for a few days and then refit the patients with a proper RGP lens design.
Yeah, I have the same information. It is also important to mention that CXL (crosslinking) is indicated to patients from mild to moderate keratoconus, I believe that it is similar to Intacs. It has to do with the stromal layer thickness which cannot be too thin because of the UV ray may affect the endothelial cells. Keratoconus in grades I and II are indicated, but for more advanced cases I believe that the protocols dicard them.
That's unfortunate. With my RGP's, I've got about 20/20 (says the optometrist).
I've been thinking about the Intacs and/or C3-R (riboflavin) treatments to "cure" my case. However having contacts within my cornea seems kinda... sketchy.
Actually the crosslinking experiments started in Dresden, Germany. The very first cases are about only 10 years ago and there are not enough data in a long term follow-up. Despite the fact that this procedure is promising, it has much to be study yet. This is the mean reason that the FDA just authorized the procedure as an evaluation protocol only to a few ophthalmology services in the US. It is also important to mention that in most cases the patients still have to wear RGP lenses after CXL.
Haha, I never said that the Brits were the first to start experiments. All I said was that they had done their own and the C3-R was proven very successful.
I wouldn't do the CXL without the Intacs. That being said, I wouldn't be wearing the RGP lenses after the procedures.
In fact the CXL is a very promising procedure and I personally believe that it will be a primary treatment for initial keratoconus in the near future. However as said before, there are still much to study to be done. The long term results are not known yet, for example, maybe one will have to retreat in 5, 10, 15 years? Is it possible that some of the patients submited to CXL may have complications in the furure? Haze, catarat, problemas with endothelial cells, etc.?
I've heard of some patients experiencing haziness and halos for hours to days after the crosslinking, but report that the side effects do disappear after a short while. It could be possible for some long-term side effects to appear, but I've heard nothing but good about C3-R.
As I mentioned before the CXL (this is the today's official nomenclature for the procedure) is very promising. I know that there are ophthalmologists in Europe and in the US performing a combined treatment of CXL and Corneal Implants (Intacs) with good results. However there are some considerations to be done, first the original protocol says that these procedures should be performed in grade I & II keratoconus with undoubt progression. Some people will still need specialty RGP contact lenses.
It is importat to know that in order to achieve the best corrected visual acuity all will depend of the corneal integrity. If there is some nebula (or leucoma) which is inside the visual axis this will affect the visual outcome depending of the extension of it. Sometimes when the lesion is new and the doctors see that he will ask the patient to stop wearing the lens, treat the cornea with a healing and lubrificant for a few days and then refit the patients with a proper RGP lens design.
lukemce 7 months ago
Yeah, I have the same information. It is also important to mention that CXL (crosslinking) is indicated to patients from mild to moderate keratoconus, I believe that it is similar to Intacs. It has to do with the stromal layer thickness which cannot be too thin because of the UV ray may affect the endothelial cells. Keratoconus in grades I and II are indicated, but for more advanced cases I believe that the protocols dicard them.
Happy New Year!
lukemce 3 years ago
I have very poor vision do to this disese.
I pray to lord this lense comes to the USA.
Even with my RPG lenses I only see 20/70
BostonPolice 3 years ago
That's unfortunate. With my RGP's, I've got about 20/20 (says the optometrist).
I've been thinking about the Intacs and/or C3-R (riboflavin) treatments to "cure" my case. However having contacts within my cornea seems kinda... sketchy.
nomofica0 3 years ago
I had the Intacs put in both eyes with out
the C3-R. My optometrist advised against it
because its relatively untested. I had
20/30 uncorrected vision for quite sometime
with the intacs. However it went right back
to 20/100 after about a year
BostonPolice 3 years ago
The British have done huge trial and have proven that C3-R is a very successful treatment.
nomofica0 3 years ago
Actually the crosslinking experiments started in Dresden, Germany. The very first cases are about only 10 years ago and there are not enough data in a long term follow-up. Despite the fact that this procedure is promising, it has much to be study yet. This is the mean reason that the FDA just authorized the procedure as an evaluation protocol only to a few ophthalmology services in the US. It is also important to mention that in most cases the patients still have to wear RGP lenses after CXL.
lukemce 3 years ago
Haha, I never said that the Brits were the first to start experiments. All I said was that they had done their own and the C3-R was proven very successful.
I wouldn't do the CXL without the Intacs. That being said, I wouldn't be wearing the RGP lenses after the procedures.
nomofica0 3 years ago
Hi nomofica0,
In fact the CXL is a very promising procedure and I personally believe that it will be a primary treatment for initial keratoconus in the near future. However as said before, there are still much to study to be done. The long term results are not known yet, for example, maybe one will have to retreat in 5, 10, 15 years? Is it possible that some of the patients submited to CXL may have complications in the furure? Haze, catarat, problemas with endothelial cells, etc.?
Cheers
lukemce 3 years ago
I've heard of some patients experiencing haziness and halos for hours to days after the crosslinking, but report that the side effects do disappear after a short while. It could be possible for some long-term side effects to appear, but I've heard nothing but good about C3-R.
nomofica0 3 years ago
As I mentioned before the CXL (this is the today's official nomenclature for the procedure) is very promising. I know that there are ophthalmologists in Europe and in the US performing a combined treatment of CXL and Corneal Implants (Intacs) with good results. However there are some considerations to be done, first the original protocol says that these procedures should be performed in grade I & II keratoconus with undoubt progression. Some people will still need specialty RGP contact lenses.
lukemce 2 years ago