Keratoconus

Normal & Keratoconic Cornea

What is Keratoconus?

This is a disease of the eye where the central mirror like structure called Cornea becomes weak, leading to progressive thinning and stretching which gradually progresses. Gradually, the Cornea bulges forwards, leading to an irregular cone shape. This causes distortion and blurring of the image formed by the cornea. Usually this disease is bilateral, though the severity may vary between the two eyes. The cause is not known though genetic predisposition is present. Early detection and treatment is key; if left untreated, vision can degrade rapidly


What are the symptoms of Keratoconus?

It may present as frequent change in spectacles power. When the disease progresses, vision deteriorate and may not improve with spectacles. It also causes distortion in vision with multiple images, glare and sensitivity to light.


Test for Keratoconus

Early detection of keratoconus is difficult because many of the condition’s symptoms are similar to those of other eye diseases. A trusted eye doctor can perform a comprehensive eye exam to identify early-stage keratoconus. An array of advanced tools and tests to effectively diagnose the corneal disease, including:

Slit-Lamp Exam

A slit-lamp is a binocular microscope used to examine the structures of your eyes, including your corneas, under high magnification. During the slit-lamp exam, Your eye doctor will look for common symptoms of keratoconus such as corneal thinning and a cone-shaped appearance.

Corneal Topography and pachymetry

Corneal topography is a computer-assisted instrument that creates a three-dimensional map of the surface curvature of the cornea. This non-invasive tool produces a map of the cornea that allows our doctors to assess the condition of the cornea’s surface. A medical device called a pachymeter is then used to measure the thickness of the eye’s cornea, revealing early signs and progression of the disease.

How is the treatment done?

If our eye doctor has diagnosed you with keratoconus, they will thoroughly discuss your treatment options with you. The type of treatment depends on the severity of the condition and your overall eye health. For instance, early-stage keratoconus can be treated with rigid, gas permeable contact lenses. These contact lenses are made of a rigid lens material, enabling the lenses to vault over the cornea, replacing its irregular shape with a smooth surface to improve vision. However, once the condition progresses, other treatment options may be necessary, including:

Intacs

Intacs are surgically applied corneal implants used when patients can no longer properly see with contact lenses or eyeglasses. Through a minimally invasive procedure, the semi-circular implants are placed just under the eye’s surface in the periphery of the cornea, reshaping the cornea for clearer vision.


INTACS

Corneal Collagen Crosslinking with Riboflavin (C3R):

The treatment is performed under anaesthetic eye drops. The epithelium-front surface of the cornea is removed, followed by application of Riboflavin eye drops for 30 minutes. The eye is then exposed to UVA light for 30 minutes by a special instrument. After the treatment, antibiotic ointment is applied and a bandage contact lens applied to allow the surface of the eye to heal. Oral analgesics are required for the first 1 -2 days. There is no need for hospitalization after the treatment. However, you will need to use eyedrops and take rest for 2-3 days. Corneal crosslinking may reduce significantly the need for corneal transplants among keratoconus patients.

Corneal transplant:

When good vision is no longer possible with other treatments, a corneal transplant may be recommended. This surgery is only necessary in about 10 percent to 20 percent of patients with keratoconus. In a corneal transplant,the diseased cornea from your eye and replaces it with a healthy donor cornea.

When can I return to work?

Your vision will remain blurred for 2-3 days after the treatment. So, you can work after 3 days.

Services

Cataract by Phacoemulsification:

  • No Stitches
  • No Injection
  • No Hospitalization needed (Patient can go home 30 minutes after surgery)
  • Foldable lens implant : Multifocal lens, Monofocal lens, Toric Lens.

Pediatric Services:

  • Squint clinic [Crossed Eyes Disease]
  • Amblyopia management
  • Pediatric Cataract Surgery with lens implant
  • Management of watering in children
  • Astigmatism

General Ophthalmology Services:

  • Computerized eye testing
  • Refractive Error correction
  • Pre-employment & Insurance Check-ups

Glaucoma Services:

  • Complete Glaucoma work up including Gonioscopy, Pachymetry, Applanation Tonometry, and Optic Disc evaluation.
  • Glaucoma Surgery
  • Automated Perimetry
  • YAG LASER Iridotomy

Vitreoretinal Services:

  • Indirect Ophthalmoscopy
  • Diabetic Retinopathy
  • Uveitis
  • Retinal Detachment Surgery
  • Age related macular degeneration
  • Retinal occlusions, Retinal degenerations, Retinopathy of prematurity
  • Posterior segment disorders

Cornea Services:

  • Foreign Body Removal
  • Microbial Infections
  • Management of Ocular Surface Disorders
  • Conjunctivitis
  • Corneal degenerations and dystrophies
  • Pterygium Excision with Amniotic membrane grafts
  • Corneal Transplants(Keratoplasty)
  • Refractive Surgeries: LASIK, FEMTOSECOND LASIK (Bladeless LASIK)

Ocular Trauma management

Oculoplasty:

  • Entropion or Ectropion correction
  • Ptosis Correction

Contact Lens Center:

  • Conventional
  • Colored
  • Disposable – Monthly, Daily
  • Toric, extended wear
  • Cosmetic, prosthetic
  • Multifocal

 

 

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Add: Raghu Kamal Hospital "Anthshil" 66, Marve Road, Orlem, Above Dena Bank, Malad West, Mumbai - 400 064. jenin66@gmail.com / raghukamalhospital@gmail.com
Contact No: 022 2881 0244 /
022 2881 0650 / 9870304433 / 9819152041