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CONDITIONS

DISEASE & MANAGEMENT

Accommodative (Focusing) Dysfunctions

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Cataracts

Cornea Cross-Linking

Contact Lens & Eyeware

Convergence Excess (BV Disorder)

Convergence Insufficiency (BV Disorder)

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Developmental Disability

Diabetic Retinopathy

Diabetes

Double Vision

Dry Eye

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Electrophysiology

Eyelid Bump / Swelling

Eye Pain or Eyelid Pain

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Flashes or Floaters in Vision

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Glaucoma

Glasses & Eyeware

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Keratoconus Management

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Ischemic Optic Neuropathy

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Loss of Vision

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Macular Degeneration

Myopia Management

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Occupational Therapy

Ocularmotor Dysfunction

Ocular Prosthetics

Optic Neuritis

 

Red Eye

Retinal Tear & Detachment

Refractive Error

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Strabismus & Amblyopia

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Traumatic Brain Injury

Trauma

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Vision Disorders

Vision Rehabilitation

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CORNEAL CROSS-LINKING

DESCRIPTION

Corneal cross-linking was FDA approved in April 2016.

 

It is a minimally invasive procedure that combines the use of Vitamin B2 eye drops and ultra-violet (UV) light to help strengthen corneal tissue that has been weakened by disease.

 

Normal corneas have crosslinks within their collagen fibers to keep it strong and able to retain its shape.

 

In keratoconus, the cornea is weak with insufficient support.

 

Corneal cross-linking works by increasing the collagen crosslinks which are the natural “anchors” within the cornea. These anchors are responsible for preventing the cornea from bulging out and becoming steep and irregular.

 

While cross-linking is not a cure for keratoconus, it may slow the progression of the disease, making the cornea more stable.

 

It may also make contact lens fitting easier, but may not completely correct your vision or eliminate the need for glasses and/or contact lenses.

INDICATIONS

  • Corneal cross-linking inhibits the progression or corneal ectasia and keratoconus.

  • It may be combined with Intacs® and photoablation.

  • The goal of the procedure is to treat at diagnosis versus wait for progression.

CANDIDATES

  • Over 14 years old with progression

  • None to minimal corneal scarring

  • Maximum Keratometry reading of <60 Diopters

  • Corneal Pachymetry > 400 microns

CONTRAINDICATIONS

  • Pregnancy

  • Active herpetic disease

  • Corneal Pachymetry <400 microns

  • History of poor healing

  • Active ocular infection

  • Autoimmune disease

  • Severe ocular surface disease

  • Severe corneal scarring

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SERVICE AREAS PROVIDING TREATMENT

Cornea Center for Clinical Excellence

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