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Brian
S. Boxer Wachler, MD 465 N. Roxbury Drive, Suite 902 Beverly Hills,
CA 90210 - Phone: 310.594.5210
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Holcomb C3-R®
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Keratoconus has increased in frequency over the years. The old statistic was 1 in 2000 people, whereas currently it's 1 in 500 people (that's a 400% greater frequency now).
If you answered YES to any of the above, then Keratoconus is significantly affecting your life. If your doctor NEVER mentioned the non-invasive Holcomb C3-R® & Intacs® to you, then you are just as frustrated as we are. In 2003, Dr. Brian invented Holcomb C3-R®, the first non-invasive corneal crosslinking procedure for Keratoconus, which has the longest track record of ANY form of crosslinking in the world (except Germany). Many cornea transplant surgeons (whose practice is based on performing invasive cornea transplants) don't want you to know about Holcomb C3-R® since it can PREVENT you from needing a cornea transplant. For over a decade, Dr. Brian has been educating eye doctors around the world by speaking at scientific meetings and presenting his results of these procedures that he pioneered since 1999. He's published articles in the medical literature and ophthalmology and optometry trade journals. He's the author of THE book on Keratoconus, Modern Management of Keratoconus. Dr. Brian has been the expert on numerous national television and radio shows discussing modern treatments for Keratoconus that can improve vision and save people from cornea transplants. And there was the worldwide tsunami of media attention after our Keratoconus patient Steven Holcomb won Olympic Gold at the 2010 Winter Olympics in Vancouver. So if your doctor never heard of Holcomb C3-R® and Intacs®, frankly your doctor likely is not keeping up with the Keratoconus field. Even worse - most cornea transplant surgeons don't want you to know about Holcomb C3-R® because their livelihood depends on doing cornea transplants. It's the unfortunate truth. But the good news for you is that YOU did your research and you are here now. These minimally involved ways can treat your Keratoconus and stop it's progression. This creates tremendous peace-of-mind for people to know their Keratoconus is stable and won't likely progress anymore. Wouldn't it be wonderful to never stay awake at night stressing about needing a cornea transplant? Thousands and thousands of Keratoconus patients have already found the solution in a non-invasive process: Holcomb C3-R® Crosslinking System. Dr. Brian is recognized as a
keratoconus
specialist and as well as the "Guru of Modern Crosslinking."
People like yourself, who have keratoconus
signs and want to undergo treatment, routinely travel
from all parts of the United States, Canada, and outside countries
because he developed Holcomb C3-R® Crosslinking
System in 2003 which strengthens the compromised cornea
that occurs with keratoconus
(see
Presentation and Research Articles link). This is accomplished
by increasing corneal collagen crosslinking, which are the
natural "structural anchors" within your cornea. And best
of all: this is done WITHOUT surgery with Dr. Brian's advanced
technique. The anchors prevent your cornea from further bulging
and becoming more distorted (which is the cause
of keratoconus). The only place to have the Holcomb
C3-R® Crosslinking System is at the Boxer Wachler Vision
Institute in Beverly Hills, California.
In 2003, Dr. Brian developed the Holcomb C3-R®Crosslinking System - the out patient, 30 minute, NON-invasive procedure to have higher safety for patients than CXL where the epithelium is disrupted. Holcomb C3-R® Crosslinking System is SAVING people from significant pain and induced blurred vision during the first month that happens when the epithelium is removed. Dr. Brian invented the "epi-on" or transepithelial crosslinking technique in 2003 because he saw the pain and problems people were having from cross linking with removal of epithelium. During Holcomb C3-R®, our proprietary Crosslinking Solution (containing riboflavin and other compounds) is applied to the cornea, which is then activated by a special light.
As it was developed in 2003, Holcomb C3-R® Crosslinking System retains the longest track record of ALL of cross-linking procedures in the U.S., Canada, South America & Latin America, Europe (with the exception of Germany), and Asia. With the Holcomb C3-R® Crosslinking System you can rest as easy as a baby wrapped in a warm blanket that you are getting “the real thing” that was developed by modern crosslinking guru, Dr. Brian. In addition, Dr. Brian invented a special process where
both of your eyes can be treated at the same time.
With the Holcomb C3-R® Crosslinking System you
won't have to return on a different day for the second eye
to be treated (which as you can imagine is very inconvenient
to your daily routine). The Holcomb C3-R® Crosslinking System is special and proprietary - it is only available at our office - it is not available anywhere else. Dr. Brian developed a proprietary Crosslinking Solution that is one of several keys to its success. Holcomb C3-R® is protected by the United States Patent and Trademark Office. For more details, please click on link in right column, "How Holcomb C3-R Was Developed". .
Our studies and studies of other eye doctors in outside countries have shown patient results are not signficantly different with crosslinking with removal of epithelium vs. leaving epithelium undisturbed in its place. Therefore, it is not necessary to scrape off the epithelium for crosslinking and is safer without scraping off epithelium. Please visit www.KeratoconusInserts.com for more information on results of Holcomb C3-R®vs epi-off (CXL) corneal crosslinking. The risk of the Holcomb C3-R® Crosslinking System is mild irritation for a couple of days. And most people NEVER even experience that. The complication rate of "epi-off" (removal of epithelium) CXL crosslinking procedure was recently reported to be high at 11%.. Complications of CXL include: 1) severe pain 2) corneal infection and ulceration 3) corneal haze 4) delayed epithelial healing 5) worse, more blurry vision 6) delay in corneal nerve regeneration 7) permanent corneal scarring 8) induced visual distortions 9) peripheral flap melting in patients who had previous LASIK and flap dislodgement 10) cornea swelling that never goes away 11) damage to iris causing change in eye color 12) extended light sensitivity 13) cornea perforation (hole was accidentally made through entire thickness of cornea)
The above CXL complications have NEVER occured with the Holcomb C3-R®Crosslinking System. The retreatment rate with the Holcomb C3-R® Crosslinking System is 0.07% (less than 1%) which is significantly less than Epi-off CXL which have retreatment rates as high as 7%. Why the much lower retreatment rate with Holcomb C3-R®? The reason is Dr. Brian customizes the energy level uses for each patient, so he customizes the amount of crosslinking for your eyes. He is the only doctor who can do this. Patients with very thin corneas cannot be treated with CXL. Even if you have an extremely thin corneas, the good news is you can still be treated with Holcomb C3-R® to strengthen your corneas and help prevent you from needing a cornea transplant. The non-surgical Holcomb C3-R® Crosslinking System is a routine part of our practice and has been so for over 10 years. Since Holcomb C3-R® is NOT in a study - our patients are not required to have the multiple "back and forth" office visits which can be quite time-consuming and disruptive to one's school or work schedule. Another advantage of the Holcomb C3-R® Crosslinking System over other crosslinking methods (eg. CXL) is the Holcomb C3-R® Crosslinking System covers the greatest corneal area for crosslinking - it covers 157% more surface area of the cornea compared to other techniques. This allows for a more complete area of treatment which is important since Keratoconus extends into the periphery of your cornea . We make sure we treat your central cornea areas as well as the far periphery of your corneas with the Holcomb C3-R® Crosslinking System. Dr. Brian discovered that different degrees of Keratoconus require different amounts of crosslinking. As a result, another propietary feature of Holcomb C3-R® Crosslinking System is that he customizes the energy level (amount of crosslinking) for each eye of each patient. Dr. Brian is the only doctor in the world who does this with crosslinking. With Holcomb C3-R® Crosslinking System you can be confident in receiving the optimized level of crosslinking treatment for each of your eyes (vs. the "one size fits all" approach of same energy level for all eyes of all patients with all the other crosslinking techniques including CXL). The Holcomb C3-R® Crosslinking System can also be combined with Intacs® to flatten the keratoconus cone even more than with Intacs alone. We routinely perform these both procedures on the same day. In these cases, the Holcomb C3-R® Crosslinking System can stabilize keratoconus from getting worse as well as help the Intacs® reverse part of the keratoconus steepening that had already occurred up to the time of the treatment. The combination of same-day Intacs and the Holcomb C3-R® Crosslinking System can give you the ideal results of improved vision AND stability.
This above case of progression occurred in a young woman, but could have
been avoided. After consultation with Dr. Brian, she saw another eye doctor in Los Angeles
who was uninformed and advised her not to have Holcomb C3-R. The result: significant
vision loss from delay of treatment for over 1 year. She came back for Holcomb C3-R which
stopped the progression and further vision loss. Unfortunately she won't regain the vision she lost during the one year of delay.
Dr. Brian is credited as the first doctor in the world (except Germany) to use corneal crosslinking treatments for keratoconus as well as being the first doctor in the world to combine this treatment with Intacs®. As the inventor of transepithelial Holcomb C3-R® Crosslinking in 2003 - Dr. Brian has the longest crosslinking track record of any doctor in the United States, Canada, Asia, Latin America & South America, and Europe (except for Germany). People who want the best possible treatment for their eyes choose Dr. Brian. With the Holcomb C3-R® Crosslinking System you can rest assured that you'll be receiving the crosslinking procedure with the longest track record in the world (except for Germany). Dr. Brian is considered the "Guru of Modern Crosslinking" because of his extensive experience and expertise. Would you trust your precious eyes and the future of your vision to someone who just learned how to do the procedure? Patients come to us from all over the United States and from other countries. Some people you like the most in your life may say to you, "Why would you fly out to Beverly Hills?" in the guise of helping you. Unfortunately they don't know the facts of how Keratoconus is affecting or threatening to affect your life. They have no idea what it's like to 'walk in your shoes' because having Keratoconus is like being a stranger in an unfriendly, strange land. Please click below to listen to patients share in their own words how the process was for them and the ways their lives have been changed after they overcame their Keratoconus.
The Holcomb C3-R® Crosslinking System is the only crosslinking procedure with an Olympic Gold Medal behind it. The United States Olympic Committee effectively endorsed the procedure when they paid 100% of the fee for U.S. Olympic Bobsledder Steve Holcomb to have it to save his eyesight - the procedure now bears his name in honor of what Steve accomplished after overcoming his Keratoconus. Finally, you can overcome your Keratoconus as well. CHART REVIEW AND CONSULTATION FOR OUT-OF-TOWN PATIENTS Many out-of-town patients would like Dr. Brian to do a complimentary review of their medical records and make a preliminary determination of candidacy. This is useful before planning an easy, 3-day trip to Beverly Hills. Some people’s friends ask them, “Why are you thinking of travelling to Beverly Hills for your Keratoconus treatments?” Although well-meaning, friends and family have no idea what it’s like to live with Keratoconus. People usually respond to friends and family with, “I deserve the BEST and I want to go to the BEST doctor who has the MOST experience, who invented these procedures. I only have two eyes and I want the best for them!” A records review is easy and the first step to better vision. Here’s how to submit them to Dr. Brian: These are the three easy steps:
Keratoconus Record Review Or you can scan your records and email them to
info@boxerwachler.com. ____________________________________________________________________
2010 Vision Awards Dr. Brian and Steven Holcomb were honored at the 2010 Vision Awards for their historic accomplishments that led to a Gold Medal at the 2010 Winter Olympics in Vancouver. Dr. Brian received the Jules Stein Living Tribute Award and Steven received the Athlete of Vision Award. Many celebrities were on hand including Will.i.am of the Black Eyed Peas, astronaut Buzz Aldrin, comedienne Lilly Tomlin, cosmetic dentist Dr. Bill Dorfman, and actor Billy Bob Thornton among many others.
____________________________________________________________________ Keratoconus is the thinning and bulging of the cornea. Treatments include Intacs®, Holcomb C3-R®, cornea collagen cross linking, and if keratoconus progresses to a serious level, cornea transplantation. Dr Brian Boxer Wachler is a specialist in keratoconus evaluation and treatment.
Copyright© Advanced Vision Education, LLC., 2012
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Removing the epithelium (as done with CXL) creates a painful recovery
and significantly increases risk of infection, corneal haze, scarring, and
corneal nerve trauma requiring 6 months to recover. The non-invasive
Holcomb C3-R®allows patients to return to their
normal routine the very next day!
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