Keratoconus is more common now than ever before.
Once thought to occur in 1 in 2000 people, keratoconus
symptoms now affect 1 in 500 people. The reason for this dramatic increase is not clear.
There is help
for you to improve your vision and end the anxiety and suffering.
Once you learn about keratoconus
causes with keratoconus
specialist Dr. Brian Boxer Wachler, you can explore the
various treatment options, including Intacs and collagen
Intacs® are clear, thin prescription inserts
placed in the periphery of the cornea (under the surface)
by an ophthalmologist during a brief outpatient procedure.
Intacs for the treatment of keratoconus
is an FDA-approved procedure.
To achieve maximum impact on Keratoconus and improvement in your vision, Dr. Brian typically combines Intacs® with the Holcomb C3-R® Crosslinking System (two techniques for Keratoconus that he invented). Most patients have both procedures performed which are typically done on the same day.
Dr. Brian pioneered Intacs for Keratoconus and was the
first surgeon in the world (except for France) to do this procedure for
Keratoconus in 1999. He'll typically perform more Intacs procedures in
a single week than a number of surgeons will perform in a whole year. We have 25-30 out-of-town patients fly in for Dr. Brian to treat them each month.
Dr. Brian's technique and his large research study were used by the
FDA as part of their approval. The FDA adopted part of his procedure guidelines for
the approved Intacs technique which is the basis for instructional courses used
to train other surgeons around the world.
How Do Intacs® Work?
Intacs® reshape the curvature of the cornea from
within, enhancing the natural shape of the eye to correct mild nearsightedness.
Because no tissue is removed, natural optics are enhanced without detracting from the structural integrity of the cornea.
A curved glide creates a channel in the periphery of the cornea by gently separating
the tissue layers. One or two tiny plastic segments (Intacs®) are
placed in the channel much like placing a pencil in between the pages of a book.
This causes the cornea to flatten which help to achieve more clear vision.
Using the L-U® ophthalmic tool to measure corneal irregularly, we found
that Intacs improve the irregular corneal shape. This typically translates into
improved vision with less distortions, glare, and streaking of lights.
Individual results may vary. Intacs® can be exchanged or removed if needed.
Benefits of Intacs® for Keratoconus:
- Outpatient 7-minute procedure (in Dr. Brian's hands)
- Sharper vision, less glare, less distortions, less double/mulitple images
- Improved quality of vision, IMPROVED NIGHT VISION
- Removable, exchangeable
- Less invasive than cornea transplantand help prevent cornea transplants when combined with Holcomb C3-R®
- Doesn't preclude one from undergoing a corneal transplant in
the future if needed
Potential Risks of Intacs® for Keratoconus:
- Foreign body sensation
- No improvement
- Sub-optimal vision
Not everyone with keratoconus will be a candidate for the Intacs®
procedure. An eye doctor experienced with Intacs®
can determine if you are a candidate.
Dr. Brian frequently evaluates patients in his clinic for
Patients fly from all over the U.S, Canada, and other countries because they want "The Keratoconus Guru" to treat them, and won't settle for anything less. Your eyes are very precious. If another eye surgeon has offered to perform Intacs on you, you may want to ask about experience and does the surgeon know how to plan the Intacs surgery or does your surgeon have to send your information to outside consultant to be told how to do the Intacs procedure?
Specifically ask your surgeon 1) if 1 or 2 segments will be used, 2) what thickness will be used, and 3) what location will Intacs® be placed? You will have an idea about level of experience with answers to those questions, especially if your surgeon needs to send your information to an outside consultant for advice. Does your surgeon perform the Holcomb C3-R® Crosslinking System COMBINED with Intacs® to achieve maximum Keratoconus reversal? (Intacs® without Holcomb C3-R® only addresses 50% of the Keratoconus problem.) These are important questions to ask yourself since you only have one pair of eyes - and with Keratoconus, the disease needs to be halted and vision improved in the BEST possible manner.
The expertise required for planning and performing Intacs® for successful results is as complex and intricate as performing successful brain surgery or fixing a problem in a rocket engine. It takes years and years of experience and performing thousands of cases to truly master Intacs® - certainty not a few surgeries a month. There is no substitute for experience in brain surgery, rocket engine repairs, and Intacs®.
Dr. Brian is considered one of the world's masters of Intacs® because he pioneered Intacs® for Keratoconus in 1999 AND because he has performed many thousands of these procedures.
As the pioneer of Intacs® for Keratoconus and "the doctor's doctor", Dr. Brian has been doing Intacs for Keratoconus over 13 years, which is longer than any other eye surgeon in the world (except for France).
If you live out-of-town, Dr. Brian can review your chart notes ahead of time to make a preliminary
determination as to whether Intacs® may be beneficial.
Listen to Norris’ experience 3 years after treatment.
Listen to Dr. Howard's story of keratoconus.
Listen to how Intacs® changed
23 year old Travis’ life.
Why choose Dr. Brian for your Intacs®?
Listen to Julie’s story about how having Intacs®
performed by a less experienced doctor led her to Dr. Brian because the
improperly placed Intacs® worsened
her vision. Dr. Brian was the first surgeon in the U.S. to perform Intacs® for keratoconus, now over 12 years ago.
For over 12 years, Dr. Brian has been performing Intacs procedures many times per week, which is more than a number of surgeons perform in a year. You can feel confident with him. Would you really trust your eyes to someone who only does one Intacs procedure a month or just a couple times
CHART REVIEW AND CONSULTATION FOR
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 a trip to Beverly Hills.
Some people's friends ask them, "Why are you thinking of travelling to
Beverly Hills for your eye procedure?" They typically answer with, "I deserve the BEST and I want to go to the BEST doctor!!"
These are the three easy steps for your complimentary chart review with
- Along with your last 2 or 3 eye exams, please be sure to include a color copy of your corneal mapping. Color corneal mapping is a very important tool, along with your exam history, to determine your candidacy. The last 2 years of your total eye history will be used to make this preliminary determination.
- Inside the envelope, please be sure to include a cover sheet with your name address, phone number and email address and the words, “Keratoconus Record Review”, so that we may optimize communication with you.
- Enclose with your letter a copy of your records.
Boxer Wachler Vision Institute
Keratoconus Record Review
465 N. Roxbury Drive, Suite 902
Beverly Hills, CA 90210
Or you can scan your records and email them to
Dr. Brian will contact you to discuss the review.
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
Copyright© Advanced Vision Education, LLC., 2012
This website is designed to provide general information
about vision, vision care and vision correction. It is
not intended to provide medical advice. If you suspect
that you have a vision problem or a condition that requires
attention, consult an eyecare professional for advice
on the treatment of your own specific condition and for
your own particular needs.