Corneal keratoconus treatment

APPOINTMENTS Examination for »CXL-Crosslinking« surgery

With the most contemporary method of keratoconus treatment "CXL – Crosslinking" it is possible to stop the progress of the disease and to preserve the cornea. If you suffer from this disease do not hesitate about the treatment because contact lens wearing is not an effective alternative which would protect you from corneal transplantation.

Slowly progressing corneal disease

The cause for corneal keratoconus, corneal disease which with its progression becomes thinner and more and more convex, is not completely known yet. It is partly conditioned by genes, it can also occur among people who because of allergies rubbed their eyes for many years. First signs which make us suspect for this disease are worse visual acuity and constant change of dioptric value of glasses or contact lenses. Sometimes occur also double vision in looking with one eye, dazzling by the light or sensitiveness to the light.

More about patient experiences
 
  • Gašper
    Gašper, 29 years,  13. May 2014

    When I learned my diagnosis, keratoconus, there was a lot of discomfort, since it is a condition which is not completely treatable. After talking to Dr. Mikek who presented the results of cross-linking I decided for this treatment with no hesitation. First for one eye, than for the other. The whole Morela staff was very professional and thorough. I am very pleased with the results, my eyesight remarkably improved and regular examinations show that cross-linking is highly effective, and the continuation of the disease stopped.

  • Lara
    Lara, 21 years,  28. February 2014

    Morela Ophthalmologists are great! They treated my keratoconus when everyone else gave up on my vision. Vision worsening did not just stop – I have even less diopters (I saw that bad that I can not even imagine how bad it was – I could not read a line of letters on the chart even with my glasses on!). I recommend them to everyone because they literally saved my life! Now I see very clearly with very low diopters. I have experience with Dr. Kristina Mikek who was nice, professional and she shared her happiness with me for my improved eyesight, but I know that also the rest of the staff is very nice. A thousand thanks!! :)

 
 
 
Alteration in the visual acuity 5 years after surgery

Surgery to stop the disease

In the early phases of the disease, most patients can still see well with glasses. Later, for a better vision, semi-hard lenses are usually prescribed which do not protect the cornea from deformation progress. With the method of crosslinking we stop the progress of diseases and we ensure the preservation of the sight. Especially in the early phases of the disease we frequently achieve the improvement of the visual acuity. The method is in wider use in the last decade, for the first time in Slovenia it was introduced by our doctor, Dr. Kristina Mikek, who regularly conducts courses in international meetings of the European Society of Cataract and Refractive Surgeons. The contemporary guidelines dictate that especially in young people we perform this treatment as soon as possible, in the most early phase of the disease.

More about surgery success

COURSE OF SURGERY PERFORMANCE

 
  • Pre-operative examination
    Duration: 15 minutes

    In the early phases sometimes keratoconus is difficult to recognize. The examinations which first confirm the disease are corneal topography (analysis of the corneal curve shape of the front and back surfaces of the cornea) and pachymetry (measurement of the thickness of the cornea). For reliable results it is important that before the examination at least for two weeks you do not wear contact lenses. Beside the confirm of the disease we are able to determine with the examination also the degree of cornea affliction. Treatment with the method "CXL – Crosslinking" is possible only if the progression of the disease is not already in the later stages. In this case we explain to you which is the process of the treatment and what can you expect from surgery.

     
  • Surgical treatment
    Duration: 45 minutes

    The surgery is performed in the process of outpatient surgery, under "eye-drop" anesthesia. In this surgery we remove the upper layer of epithelial cells from the surface of the cornea, then we soak the cornea with the vitamin B2 drops and UV light is applied. With this we trigger a chemical reaction in the tissue with which additional links between collagen fibers form. This increases the rigidity of the cornea and stops the progression of the disease. After surgery we insert in the eye the therapeutic contact lens which protects the cornea in healing. Our doctors are in the first few days after surgery available on telephone 24 hours a day. We find the simple and quick doctor availability very important, because it gives the patient a feeling of safety and it calms them down.

     
  • After-surgery examination
    Duration: 15 minutes

    The first examination is performed two to three days after surgery, after that the frequency of re-examinations are adapted to the course of recovery. In the first days after surgery you could feel pain, the vision is frequently opaque, the light may dazzle you. It is important to know that the first results of the treatment appear only after eight weeks, the final evaluation of the surgery success can be made after a year. The result after surgery is conditioned mostly by the degree of the corneal impairment. After the conclusion of the treatment we recommend you regular check-ups every year with which we follow the condition of the cornea.

     

FAQ

Will after surgery my eyesight improve?

The surgery is not intended to improve the eyesight in the first place, but it is meant to stop the progress of the disease and in this way we avoid corneal transplantation. We surely try to preserve the visual acuity with which the patient is still satisfied. The result after surgery is conditioned mostly by the degree of the corneal impairment. It can stay unchanged, in many patients improves a little.

Is it possible after surgery to correct the refractive error with laser?

In those to who the disease was discovered in the early phases and successfully treated with crosslinking, is later with stable dioptric value and enough thick cornea possible to perform surface laser refractive error correction with the LASEK method.

When is the most appropriate time to decide for the treatment?

Regarding the confirmed great results of keratoconus treatment with the method of crosslinking and its safety we suggest to undergo treatment in the earliest phase possible. In this way we do not only preserve the cornea but also a good eyesight.

Is the treatment of both eyes recommendable also if the eyesight is poor only on one eye?

This disease usually afflicts both eyes but it does not progress with the same speed. Firstly the visual acuity is poor only on one eye. If with examinations the beginning of the development of this disease is discovered also on the other eye, we recommend the treatment on both eyes. In this way we prevent the worsening of the visual acuity also on the better eye.

 
 
 

SELF-PAY PRICES FROM 1000 EUR

Includes surgery, all needed medications and follow-up visit.
Possibility of payment in installments. With no waiting periods.

Price list

 
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