A New Frontier for Keratoconus Treatment

February 3rd, 2015

The Holcomb C3-R ® is a procedure that uses a solution made of natural vitamins placed directly on the cornea to improve and strengthen the fibers of the cornea. This treatment helps to stabilize the cornea and slow/halt the progressive nature of this vision deteriorating condition. Full results of the treatment takes between 4 -16 weeks.

In combination with other treatments the Holcomb C3-R ® has the ability to dramatically improve a patient’s vision and improve their lives. In the past, many had to turn to corneal transplants as a treatment for Keratoconus. That procedure was risky, invasive, painful and had a long recovery time.

Now with improvements in technology, treatment options have become non-invasive or at the most minimally invasive. These advanced Keratoconus procedures have shorter than ever recovery time, usually a period of hours or days. Some combinations of treatments can be done the same day with no increases in recovery time.

The Procedure:

During the Holcomb C3-R ® procedure your eyes are numbed with eye drops and a proprietary solution developed by Dr. Brian Boxer Wachler in 2003 is applied to the cornea. Then the patient sits under a carefully calibrated UV light for 30 minutes, this activates the solution. The propriety eye drop solution is made with a natural vitamin called Riboflavin along with other ingredients which encourage the collagen within the cornea to build new crosslinks. These crosslinks is what strengthens the cornea. In some cases, this procedure has the added benefit of providing slight flatting of the cornea shape.

The procedure take about 30 minutes and is performed.

INTACS:

Intacs is often used in combination with the Holcomb C3-R ® to treat all stages of Keratoconus. While the Holcomb C3-R ® slightly changes the shape of the cornea, Intacs are used to help mold the cornea shape more. It uses tiny crescent shape lens inserts to help improve the cornea of the patient. When used in combination with the Holcomb C3-R ® it can improve the patient’s vision.

The Intacs procedure takes around 10 minutes and most patients report that the procedure was easier than a trip to the dentist. Vision of the patient improves almost instantly. Giving them the ability to have a better quality of vision with contacts or glasses.

Symptoms of Keratoconus:

It generally takes a while to be diagnosed with Keratoconus but if you have a family history of this condition or any of the below symptoms you should notify your eye care professional for further testing.

 Frequent changes in prescription
 Frequent eye rubbing
 Double vision
 Eye pain
 Halos or glares around the lights
 Light sensitivity

Dr. Brian discusses the testing used to diagnosed Keratoconus

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Finding the Right Keratoconus Treatment

January 27th, 2015

Keratoconus is a progressive condition that causes the patient to lose their vision slowly over time. Keratoconus causes the sphere shaped cornea to turn cone shaped. This causes the images that a patient sees to become distorted and glasses or contacts often will not help improve vision over time.

In the past many patients have had to wait for their vision to be nearly lost and then a cornea transplant was recommended to replace the damaged one. Until 1999, this was the main treatment for Keratoconus, which was invasive and had a long recovery time. Today Keratoconus treatments are available to slow, stop, and in some cases reverse the damage from Keratoconus.

Today’s Modern Keratoconus Treatments:

Over the past two decade many ophthalmologists have worked hard to find new ways to treat Keratoconus. Several treatments have excellent results in treating this condition. A few are listed below.

The Holcomb C3-R ®:

The Holcomb C3-R ® or Corneal Collagen Crosslinking with Riboflavin is a non-invasive treatment designed to strengthen the corneal fibers to help restore the shop of their cornea. Dr. Brian S. Boxer Wachler developed this treatment in 2003 and has revolutionized Keratoconus management.

The Holcomb C3-R ® is performed in the comfort of Dr. Brian’s office and is comfortable to undergo with recovery in as little as a few hours. Additionally the Holcomb C3-R ® can be performed in combination with other advanced treatments to further enhance and improve vision, procedures such as Intacs.

Intacs:

Intacs are tiny crescent shaped lens inserts that are placed in the layers of the cornea lens to reshape the cornea. It provides the patient with almost instant improved quality of vision and when performed with the Holcomb C3-R ® can benefit patients with moderate to severe Keratoconus.

Intacs can be done within 10 minutes and performed the same day as the Holcomb C3-R ® to reduce the need for repeat procedures dates and extended recovery times.

CK- Conductive Keratoplasty:

CK also known as Conductive Keatoplasty can be combined with both Intacs and the Holcomb C3-R ® to help reshape the cornea. Often used to reduce high levels of astigmatism, it can be effective in the treatment of Keratoconus for further enhancement of vision.

CK uses a radiofrequency probe, which gently helps reshape the cornea. This procedure can also be performed in combination with other treatments in the office. CK has little recovery time and little to no pain.

Advancements in Keratoconus treatments give patient’s peace of mind and relief to know there is another option instead of the dreaded and painful cornea transplant.

Watch Kristen discuss her happiness with Holcomb C3-R ®, Intacs, and CK – 3 years after treatment

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Tips for Family Vision Care This Year

January 20th, 2015

Vision care should be a priority to your family especially if you have a family history of eye problems or conditions like elevated blood pressure, or Diabetes. Several conditions affect the eyes and can lead to severe vision loss or eye care issues.

Be sure to find an eye care professional that you are comfortable speaking with, and that communicates well with you and your family. This will help your family understand your eye care conditions and find the right treatments for your family.

Below are a couple tips to help you:

Discovering Vision Problems in Your Children:

There are several signs of vision problems in children. Knowing what they are and how to spot them is important. If they are having difficulty seeing it will affect every part of their life including social, and academic as well.

Below are some common signs it is time to see the eye doctor:

 Eye Strain – (in children straining to see the television or board at school)
 Blurred Vision
 Double Vision
 Poor night vision
 Frequent Eye rubbing
 Eye Pain

Family History of Eye Conditions:

If you have a family a family history of eye conditions such as Cataracts, Glaucoma, Keratoconus, or even Diabetes type 1 or 2 you should go to the eye doctor on a regular basis. Annual eye exams are an important part of a healthy lifestyle. Early detection of eye conditions opens up more options when it comes to treatments.

For more information on symptoms of common eye conditions, or treatment option ask your eye care professionals or visit www.BoxerWachler.com

Dr. Brian’s shares his tip on why eye rubbing can be dangerous to your eye health:

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Top 3 Reasons to Use Intacs for Keratoconus Treatment

December 29th, 2014

Keratoconus vision correction procedures have advanced over the last decade. There are several procedures that can help improve your overall quality of vision quickly and with little to no pain. Intacs is a procedure that can help you with a condition called Keratoconus and when it is combined with other procedure such as the Holcomb C3-R ® it can improve your quality of vision even more.

Below are the top 3 reasons to use Intacs for Treatment of Keratoconus:

Support in reshaping your cornea

Keratoconus causes the cornea to become misshaped, or distorted. The cornea becomes more cone shaped, which makes vision less clear and contacts more difficult to wear. Intacs are in the layers of the cornea and help to reshape your cornea to improve your overall quality of vision by reducing the irregular cone shape. While this treatment doesn’t cure the condition it can significantly improve quality vision with glasses or contacts by reducing distortions and prescription.

Needs little maintenance

The Intacs needs little maintenance. Once it is placed in the cornea layers the tiny insert is barely felt, and doesn’t need any maintenance from the patient. It can be removed easily if you need a prescription change, or for any other reason.

Can be combined with other treatments

The Intacs can be combined with other Keratoconus treatments to maximize the vision improvement. The Intacs procedure takes merely 7 minutes or less and other procedures can be combined with them, such as the Holcomb C3-R ®.

Watch Ian’s story of night vision improvement with Intacs

Find out today if Intacs is right for you call 310-594-5210 or email info@boxerwachler.com

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How Will INTACS Help My Keratoconus?

September 22nd, 2014

Before the 1990’s there was little available in regard to treatment options for Keratoconus. Many patients had to deal with the debilitating effects of Keratoconus until they needed a Corneal Transplant. Now there are several new treatments that are improving the overall effects of Keratoconus. INTACS have been available to patients for the treatment of Keratoconus since 1999. This treatment can also assist patients with other eye conditions such as Myopia.

Below are benefits of INTACS for Keratoconus:

Simple, out-patient procedure.
Less invasive then a corneal transplant
Provides you with Improved Quality of Vision
Most Commonly takes less than 15 minutes
Removable if technology changes, but designed to remain in the eye for a lifetime

For most people, the use of INTACS for Keratoconus is a great treatment for correcting their quality of vision and comfort in glasses and contacts. The INTACS are not noticeable within the eye and do not require maintenance once in place. If this is something you might be interested, in speak with your eye care professional for more information.

Procedure & Recovery:

15-30 min. total operative time (1 or 2 eyes)
Little to no recovery time
Little to no pain
Almost immediate improvement
Can be combined with other eye care procedures

There are several advantages including quicker and little to no pain with recovery. INTACS can take the place of your glasses or contact lenses, however most commonly assists in the comfort of these types of correction. They help to reshape the eye’s cornea to help improve your overall quality of vision.

Dr. Brian Boxer Wachler, MD is a renowned eye surgeon specializing in Keratoconus Treatments, as well as other vision correction procedures.

Watch how a 12 year old boy had his vision restored and saved by INTACS. He was saved from having to undergo the invasive cornea transplant:

http://youtu.be/8TEe-RPNaWM

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Keratoconus Options: Treatment Success

September 8th, 2014

For those who have had family members or close friends that were diagnosed with Keratoconus, treatment options probably didn’t sound very promising at that time. With new advancements in the treatment of Keratoconus, success is a common place. In fact over 90% of all patients with Keratoconus are now receiving successful treatments for their Keratoconus, and may have improved overall vision, WITHOUT the need to undergo a painful corneal transplant!

Keratoconus is a progressive eye disease that changes the shape of your cornea from circular to cone shaped over time. These distortions cause your vision to decrease and lower the quality of your vision, as well as your ability to complete your daily life activities. In past years there were only a few treatments available. A diagnosis of Keratoconus meant that you would eventually require a corneal transplant. Now only 5% of patients with Keratoconus eventually need a corneal transplant, and these cases are often due to additional circumstances beyond the Keratoconus diagnosis.

Below are a couple of the New Treatments for Keratoconus:

Holcomb C3-R® Crosslinking System

This treatment was developed over a decade ago and has made remarkable strides in successful Keratoconus treatment. This is a totally non-invasive treatment that only takes about 30 minutes to perform. It strengthens the cornea, reducing visual distortions, fluctuations, and can even occasionally improve overall vision.

INTACS

INTACS is another great treatment for those with Keratoconus that uses tiny segments which are placed in the cornea and reduce the steepness to create a more normal shape. This treatment requires little maintenance and the segments are intended to be left in the eye for a lifetime. The INTACS can be done in combination with the Holcomb C3-R ® to provide better results and is great for those with Keratoconus.

These amazing new treatments have restored hope in the lives of thousands of patients over the past decade. Knowing that there are several new treatment options out there to help you regain your vision should add new hope to your treatment’s success.

Listen to Tom’s story of avoiding a cornea transplant. Tom says “run, don’t walk to see Dr. Brian”

http://youtu.be/8-vq7rKMFhM

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Will I Need a Corneal Transplant Now That I’m Diagnosed With Keratoconus?

September 1st, 2014

For those who are familiar with Keratoconus, Corneal Transplants maybe a familiar treatment option. But with today’s advanced technology, there are several treatments yielding amazing results when it comes to the treatment of Keratoconus. For generations past, the only treatment of Keratoconus was a corneal transplant. But the success of alternative treatments has made corneal transplants an option in less than 5% of patients with Keratoconus in fact they are almost obsolete.

Other treatments such as the Holcomb C3-R®, INTACS®, Hybrid Lenses, and even PRK have yielded excellent results. These treatments have aided in slowing, reversing, and in some cases stopping the progression of Keratoconus. For many, visual freedom and overall improved quality of vision is within reach.

Some of you may be wondering what Keratoconus is and what are the signs. For those of you who are new to this condition or even have family members who are newly diagnosed with Keratoconus, it is a progressive eye condition which causes the cornea to extend into a cone-shape causing distortions in the patients vision over time.

The lens slowly bulges outward causing blurred or double vision, decreased night vision, difficulty reading, and several other symptoms. The condition can be hereditary, caused by frequent rubbing, or injury to the eye. Over time the patient can have a severe decrease in vision, causing problems with daily activities, driving, or night vision.

Treatments:

Holcomb C3-R® Corneal Crosslinking System

Also known as Corneal Collagen Crosslinking with Riboflavin, Holcomb C3-R® is a treatment that strengthens the corneal fibers over time, fixing the damage or bulge to the cornea. This can improve the vision slightly over 4-16 weeks, but most importantly it will stop the disease from progressing. The treatment is non-invasive and uses a natural vitamin called Riboflavin along with a UV light to activate it. The treatment takes 30 minutes and continues to work to improve your sight for weeks after it’s complete.

INTACS®:

INTACS® are tiny segments that are placed in your cornea to provide support and add shape to your cornea. INTACS® can be added in combination with the Holcomb C3-R® and take less than an hour for both eyes to be done. There is less recovery time and less pain involved with the procedure than a corneal transplant. The procedure for INTACS® is minimally invasive and requires very little recovery. INTACS® also can be removed relatively easily if technology changes or you need them removed for some reason in the future.

13yr old Brianna had her Keratoconus treated with these advanced treatments, watch her story here: http://youtu.be/KZFC8NOp_hI

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Early Prevention of Keratoconus Can Save Your Vision

July 1st, 2014

There has been great strides of progress when it comes to Keratoconus and over the last decade we have found several new treatments to improve your overall quality of vision. Although Keratoconus is a progressive disease there are several treatments that can improve your vision and in some cases reverse the damage already done by the disease. There are screenings that help predict Keratoconus at an early stage.

Yearly screenings are important. They can help your eye care professional spot early signs of Keratoconus. If you have a family history of the disease you should inform the doctor right away. This will help them detect the disease in its earliest stage. There are several treatments available to assist you with your Keratoconus and improve your disease allowing you to be free of glasses and contact lenses in some cases. Below are some early warning signs of Keratoconus and New treatments for those with the disease.

Keratoconus Symptoms:

  • Blurred vision
  • Frequent Prescription changes
  • Halos
  • Difficulty with night vision
  • Excessive rubbing of the eyes
  • Double Vision
  • Headaches

Treatments for Keratoconus:

  • Glasses, contact lenses – Changing prescriptions
  • IOL’s or Intra Ocular Lenses
  • CK
  • Holcomb C3-R ®
  • INTACS for Keratoconus

So if your question is, can Keratoconus be cured? No, but it can be treated. You can improve your overall quality of vision. And the earlier it is caught the better your vision can get. Some of the treatments in some cases have reversed the damage done by Keratoconus, but in most cases you can still get your vision back. So stop paying attention to all the blogs, magazines, articles, and general doctors, and consult an expert.

Dr. Boxer Wachler, MD is a renowned eye surgeon specializing in Keratoconus treatments, LASIK, I-BRITE eye whitening, and other procedures.

Hear Joey’s story of hope and triumph with modern Keratoconus treatments: http://youtu.be/IbcD_91GlEA

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Dealing with Keratoconus & Treatment Options

June 1st, 2014

A diagnosis of Keratoconus can be frightening. If you have family history of Keratoconus you may have already experienced seeing someone with the disease. However today technology has allowed for several new treatments that can slow the progression of Keratoconus or even in some cases stop the it’s progression.

In the past most treatments for Keratoconus ended up with a Corneal Transplant. But within the last decade many other treatments have allowed for faster recovery times, non-invasive procedures, and even improvements over time. Now with the design of hybrid contact lenses, scleral contacts, and even the Holcomb C3-R ® patients have non-invasive options for improving their vision.

Today’s Treatment Options

The use of eye glasses: The use of eye glasses has been a treatment option for those with Keratoconus and many other condition for years. This treatment is generally used in the very early stages of Keratoconus. When patients are treated during early diagnosis with Holcomb C3-R® they have a higher probability to be able to use glasses long term. Holcomb C3-R® stabilizes the progression of Keratoconus and helps preserve a patient’s current vision.

Contact Lenses:

Another traditional treatment for more advanced Keratoconus are RGP (Rigid Gas Permeable lenses) or Scleral Contact Lens. One type of RGP lens is the Rose-K lens, which can offer crisp and sharp vision for those with Keratoconus. There are some brands of soft contact lenses that are designed for patients with Keratoconus, these include KeraSoft Lenses and NovaKone Lenses. In addition to the soft contact lens there is a combination lens or Hybrid lenses like ClearKone ®, which have a hard center and a soft skirt. Discuss with your Keratoconus contact lens fitter the best option to improve the clarity of your vision and improve your day-to-day visual experience.

The Holcomb C3-R ® or Corneal Cross-linking With Riboflavin: This revolutionary treatment developed in 2003 by Dr. Brian Boxer Wachler is used to preserve the vision of those suffering with Keratoconus by using a more natural approach. A Vitamin rich solution is administered to the eyes and then activated with a special UV light. This procedure helps to strengthen the cornea and stop the progression vision loss from Keratoconus. This procedure helps to preserve a patient’s current vision. When combined with other procedures, such as INTACS, overall vision can be improved.

Ian discusses how revolutionary Keratoconus treatments have improved his life and vision, watch his story here: http://youtu.be/Tr2DeAQA-DI

To learn more about new treatments for Keratoconus you can visit www.allaboutvision.com/conditions/keratoconus.htm

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How the Holcomb C3-R ® can Help Your Keratoconus - A Career in Auto Racing

April 1st, 2014

While Keratoconus is an often debilitating condition there is hope in having a successful career in Auto Racing regardless of having Keratoconus. There are several new treatments that are not only improving patients Keratoconus but also bringing back the eyesight of many patients.

The Holcomb C3-R ® is a treatment that uses natural vitamin solution in the eye, and in combination with special UV lights the solution is activated. The solution will strengthen the fibers of the cornea which will improve the distortion in the eye over time.

Australian Race car driver Mark Skarife has had Keratoconus for over 10 years. His current treatments allow him to switch from contact lenses to glasses for his Keratoconus. However with the Holcomb C3-R ® Mark may have the ability to drive without any additional aids such as glasses or contact lenses. In an article in “All About Eyes” Mark stated “Contact lenses do not fog up like glasses tend to do”.

The truth is no matter what treatment you try it is up to you and your eye care professional to decide what works best for you. Can you have a career in Auto Racing and have Keratoconus, Yes. The trick is with any condition you have to monitor your condition, report and new symptoms, and understand how it can affect you in your future.

There are several treatments that can benefit you and your chosen career including Holcomb C3-R ® which can strengthen your vision naturally. INTACS which are inserted lenses that help support your natural lens.

Below are some symptoms of Keratoconus:

For those who are not familiar with Keratoconus, it is a progressive eye condition that causes thinning of your cornea changing it to a cone shape. The progression of the condition varies from person to person but the symptoms are generally the same.

  • Blurred vision
  • Frequent Changes in Prescription
  • Frequent rubbing of the eyes
  • Dry eyes
  • Increased blinking of the eyes

There have been a great deal of advancements in the improvement of vision for those suffering from Keratoconus. Checking out the latest in treatments could save you a great deal of time and symptoms. Treatments like Holcomb C3-R ®, INTACS, and CK can help you regain your life a little faster. For more information on how to treat your Keratoconus visit www.AmKC.org

Learn how Olympic Bobsled Driver’s Life was changed by Keratoconus Treatments: http://youtu.be/P8CWqVTnIp0

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