Keratoconus is characterized by central thinning and forward protrusion of the cornea. |
Keratoconus patients with good unaided vision following DALK surgery. None of them are using contact lenses anymore |
Angulation of the lower lid in downgaze known as Munson's sign, which is a nonspecific sign of advanced keratoconus |
Milind (Kolkata) DALK left eye unaided vision 6/9 (20/30) |
Photokeratoscope image showing crowding of the mires inferiorly ,(egg shaped mires) indicating steeper corneal curvature in that region |
Janani (Chennai) DALK both eyes unaided vision 6/9 (20/30) |
Semisoft or RGP contact lens wear in an eye with moderate Keratoconus. |
Collagen crosslinking or C3R or CXL This is a new modality of treatment for keratoconus, where in Riboflavin eye drops are applied followed by exposure of the cornea to ultraviolet radiation for a duration of 30 minutes. This results in cross linking of the collagen fibres of the cornea, thereby increasing its physical strength by upto 300%. Thus further progression of keratoconus can be arrested, and in 15 -20% cases regression has also been noted. Longest followup duration following this treatment is for 10 years. A variety of options for collagen crosslinking treatment are now available at Cornea Clinic, Apollo Hospitals, Hyderabad. |
Ahmed (Kerala) DALK left eye unaided vision 6/9 (20/30) |
Intacs implants This is a newer surgical treatment for mild to moderate keratoconus. In this surgery, fine plastic implants are placed in the peripheral cornea, which helps flatten the central cornea, thereby improving the unaided vision. Patients are able to return back to normal glass wear or comfortable contact lens wear post treatment. This procedure is painless and simple to perform. The surgery is performed under topical anesthesia using the Ziemer Z6 femtosecond laser, and takes only 5 -10 minutes per eye. |
Ms Joshi (Jamshedpur) DALK right eye unaided vision 6/9 (20/30) |
Archana (Mumbai) DALK left eye unaided vision 6/9 (20/30) |
Khalid (Oman) DALK right eye unaided vision 6/12 (20/40) |
Acute hydrops in Keratoconus - Note the corneal opacification and oedema at the apex of cornea |
Standard full thickness corneal transplantation procedure, is very successful in restoring corneal structure and function. However one needs to use topical steroids for a longer duration than lamellar procedures. Full thickness corneal grafts in keratoconus have the best clinical outcome, when compared with other indication of corneal transplantation surgery. |
Najeeba (Kerala) DALK both eyes unaided vision 6/9, 6/12 (20/30, 20/40) |
Standard full thickness keratoplasty for Keratoconus |
Dr Rajesh Fogla, senior corneal surgeon has special interest in keratoconus disorder and its management. He has a vast experience in contact lens fitting, & specialized corneal procedures to effectively manage this condition. He has been performing Deep Anterior Lamellar Keratoplasty since 1998, & has numerous publications & presentations on the same For more information regarding the cost of surgery and other details you can email Dr Rajesh Fogla at dr_fogla@yahoo.com or call him on +91 9866076750 |
Clinical features Clinical presentation is usually with progressive visual symptoms secondary to corneal changes. Irregular astigmatism results in blurred vision, glare, and diplopia. Glasses do not help improve vision, and rigid contact lens wear is required for improving eyesight. |
Tel 91 40 23607777, Fax 91 40 23608050 ,24 hours emergency services call 1066 |
Cornea Clinic - Eye Department - Apollo Hospitals, Jubilee Hills, Hyderabad 500096, Telangana, INDIA |
Cornea Clinic - toll free number 1600 345 1066, other numbers 91 40 23607777 ext 6333 |
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Phakic IOL implantation surgery This is a new modality of treatment in keratoconus patients to improve unaided vision. Phakic IOL such as Staar Toric ICL helps reduce the refractive error and astigmatism thereby significantly improving unaided vision. Patients are able to do away with contact lens wear or dependence on glasses. However not all keratoconus patients are suitable for this modality of treatment. You can email your reports to Dr Fogla to know if you are eligible for the phakic IOL. |
Cornea Clinic |
Center for Innovative Corneal Surgery |