Corneal Collagen Crosslinking

Corneal Collagen Crosslinking

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    Kaushal Kumar Patient operated for Contoura Vision LASIK

    Thank you, Dr.Aditi, I am grateful to you. I had a very nice experience with you having done my LASIK surgery by Contura vision, I have got 6/5 vision after my specs removal surgery. Very helping staff & caring follow-ups done by the Dr. Again & Again thanks to you Dr. Aditi.

    Ravinder Yadav Operated for Bladefree iLASIK

    Had a very good experience from the first consultation to the follow-up visits for my LASIK surgery. Dr. Aditi provides good information and details things really well. The staff is helpful and ensures timely reminders wherever needed. Best wishes to keep providing quality care services to their patients.

    Srujani Panda Visited for Cataract Surgery

    I went in to get a simple eye check up done for myself and extended it to my mother’s cataract surgery as well. We couldn’t have asked for a better doctor and clinic team. Dr. Aditi put my mother at ease and took care of her. Such a humane touch to treating patients. Thank you so much.

    Pritika Bedi Operated for Contoura Vision LASIK

    I recently got my Lasik surgery done by Dr. Aditi. It was a great experience as she ran several tests before the procedure to ensure that I was the right candidate for the surgery. She patiently answered all my queries and thoroughly …More

    Abhimanyu Rathi Operated for Contoura Vision LASIK

    Highly qualified Doctor, professional in nature, knows all the tricks of trade. Compassionate and helpful, willing to go beyond call of duty to help the patient with valuable advice. Doctor is trained to perform lasik with latest femtolasers and contoura vision software. Good experience.

    Ashwini Anand

    I was very happy with the thoroughness of the retinal exam I got and the attention to detail that the doctor showed during the entire process. I did not sense any kind of overcharging or excessive prescription of tests. I would go to Dr Aditi again if the need were to arise.

    Ms. Vaishali Dhingra Operated for LASIK

    I had been wearing glasses for the past 8 years. I went to Dr.Aditi for surgery for removal of glasses. The doctor explained the entire procedure to me well, I went ahead with the surgery for LASIK. I could see 6/6 from the second day itself and my experience was very good.

    lalit Ahuja Visited for keratoconus treatment

    Superb!! Dr. Aditi Manudhane is one of the best ophthalmologists in India. She is competent, humble and thorough professional. We went there for C3R process of my niece. We are fully satisfied.

    Types of LASIK Surgery

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    Keratoconus is a progressive disease of the cornea (The front transparent layer of the eye) characterised by thinning and buldging of the cornea.

    What is CXL?

    Keratoconus gets worse because the cornea weakens. CXL, also known as C3R, uses ultraviolet light and vitamin B2 (riboflavin) drops to stiffen the cornea. Used together, they cause collagen fibrils within the cornea to cross-link – or bond more tightly. This treatment mimics the normal age-related stiffening of the cornea, which is known as natural cross-linking. Thus it prevents further thinning of the cornea and progression of the disease.

    Which patients benefit from CXL?

    The treatment is usually recommended for patients whose corneal topography scans show that their keratoconus is getting worse. In order to obtain the most accurate scans,it is recommended that you remove your contact lenses prior to your scan (2 weeks for RGPs, 1 week soft contact lenses). If you are unable to manage without your lenses, treatment may still be available. In this situation, so long as the cornea is not too thin, treatment may be offered based on your individual estimated risk of disease progression. Age is the most important factor in determining this risk: because of natural cross-linking as you get older, keratoconususually stops getting worse by the mid-30s, so CXL is not normally required for older patients.However a regular check up with your ophthalmologist is necessary.

    What is the procedure of CXL?

    The standard CXL procedure is the “Epithelium – Off” CXL which involves removal of the superficial layer of the cornea followed by soaking the cornea with Riboflavin dye for 30 min and then exposure to UVA for 30 minutes.

    The more recent version called “Accelerated CXL” is a variation of the standard CXL which speeds up the time for delivery of UVA by increasing the intensity. The total amount of UVA delivered thus remains the same.

    After CXL your eye may be slightly red and your vision may be blurry for the first few days, it takes a few weeks for it to stabilize.

    Although a relatively safe procedure,there are certain rare risks such as – post op Haze, Infection, Sterile corneal ulceration and corneal melt.

    You would be monitored regularly and would require a contact lens trial only after 3 – 4 months following CXL.

    How much time would you need to take off work or studies?

    You should allow at least one week off while most of the surface healing occurs, or two weeks if your job involves a lot of computer work, and the treatment is being done on your better seeing eye. You will be putting eye drops in every hour for the first day, and then every four hours for the following days. Day to day activities such as watching TV or using a computer will not do any damage to your eye, but you might find it more comfortable to rest with your eyes closed early on.
    To determine if your cataract should be removed, your ophthalmologist will perform a thorough eye examination. Before surgery, your eye will be measured to determine the proper power of the intraocular lens that will be placed in your eye. Tell your doctor about all the other medications you are taking routinely and if you suffer from any other systemic condition such as diabetes, Hypertension, Heart disease, Epilepsy, Asthma etc.