There are various types of contact
lenses that may improve vision in patients with keratoconus
such as gas-permeable, soft-permeable, and Rose-K lenses. Unfortunately for many people these lenses can only be tolerated for a few hours a day or people may live in pain with the contact lenses.
A corneal transplant involves the removal of the central
portion of the diseased cornea and replacing it with a donor cornea.
The donor cornea is held in position with fine sutures or stitches.
The healing process that follows can take a year or longer. It is
not uncommon to experience large amounts of astigmatism or irregular
astigmatism which require correction with RGP contact lenses. Some
patients may be a candidate for PRK after 1 year. Cornea transplant surgery is very invasive and carries significant risks such as graft rejection, cataract, infection, and retina detachment. Fortunately, Dr. Brian's Holcomb C3-R and Intacs can prevent the need for a cornea transplant in the future. Many patients are elated to find this "peace of mind".
Dr. Brian performs cornea
transplants if the patients with keratoconus are too far progressed
and if there are no better alternatives.
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 Los Angeles. These are the steps:
- 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
- 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.
Wachler Vision Institute
Keratoconus Record Review
465 N. Roxbury Drive, Suite 902
Los Angeles, CA 90210
Or you can scan your records and email them to
Dr. Brian will contact you to discuss the review.
is the thinning and bulging of the cornea. Treatments include
collagen crosslinking, and if keratoconus
symptoms progress to a serious level, corneal transplantation.
Dr. Brian Boxer Wachler is a keratoconus
expert in keratoconus
causes, evaluation and treatment.
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.