Corneal Keratoconus Treatment

APPOINTMENTS Examination for »CXL-Crosslinking«

Using the most contemporary method of keratoconus treatment "CXL – Crosslinking", it is possible to stop the progression of this disease and preserve the cornea. If you suffer from this disease do not hesitate about the treatment because wearing contact lenses is not an effective alternative that will protect you from having to get a corneal transplantation.

Slowly progressing corneal disease

The cause for corneal keratoconus, a corneal disease that causes the cornea to become thinner and more convex as it progresses, is not yet entirely known. The disease is in part conditioned by genes but can also occur among people who have, as a result of allergic reaction, rubbed their eyes for many years. The first signs that lead us to suspect the disease are worse visual acuity and constant change in the dioptric value of eyeglasses or contact lenses. Double vision when looking with one eye, glare or sensitivity to light may sometimes also be present.

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

    When I learned of my keratoconus diagnosis, I felt a lot of discomfort because this condition is not completely treatable. After talking to Dr. Mikek, who presented the results of cross-linking, I opted for this treatment without hesitation. The treatment was first performed on one eye, then on the other. The entire Morela staff was very professional and thorough. I am very pleased with the results, my eyesight has remarkably improved and regular annual check-ups are indicating that cross-linking is very effective and that the progression of the disease has stopped.

  • Lara
    Lara, 21 years,  28. February 2014

    Morela Ophthalmologists are great! They treated my keratoconus when everyone else had given up on my vision. The worsening of my vision has not only stopped – I even have a significantly lower dioptre now (my eyesight was so bad that I can’t even imagine how much worse it was – I couldn’t even read a line of letters from the eye chart, even while wearing my glasses!) I recommend them to everyone because they literally saved my life! Now I see very clearly with a very low dioptre. My own experience is with Dr. Kristina Mikek who was friendly, professional and who shared in my happiness when my vision improved. But I know that the rest of the staff is also very friendly. A thousand thanks!! :)

 
 
 
Change in visual acuity 5 years after surgery

Surgery to stop the disease

Most patients can still see well with glasses during the early stages of this disease. Later, semi-hard contact lenses are usually prescribed for better vision. But these lenses do not protect the cornea from the progression of deformation. Using the crosslinking method, we stop the progression of the disease and ensure that sight is preserved. Improvement in visual acuity is frequently achieved, particularly in early stages of the disease. This method has become more widely used in the past decade and was first introduced in Slovenia by our doctor, Dr. Kristina Mikek, who also regularly conducts courses during international meetings of the European Society of Cataract & Refractive Surgeons. Modern guidelines dictate that this treatment be performed in as early stage of the disease as possible, particularly among young people.

More about surgery success

COURSE OF SURGICAL PROCEDURE

 
  • Pre-operative examination
    Duration: 15 minutes

    In its early stages, keratoconus is sometimes difficult to recognize. The examinations that first confirm the disease are corneal topography (analysis of the corneal curvature shape of the front and back surfaces of the cornea) and pachymetry (measurement of the thickness of the cornea). In order for us to obtain reliable results, it is important that you do not wear contact lenses at least two weeks prior to the examination. In addition to confirming the disease, we are also able to determine the degree of cornea affliction. Treatment with the "CXL – Crosslinking" method is possible only if the disease has not already progressed to its later stages. If you are affected by this disease, we fully explain the process of treatment to you and what you can expect from surgery.

     
  • Surgical treatment
    Duration: 45 minutes

    The procedure is performed as an outpatient surgery under "eye-drop" anaesthesia. During the surgery, the upper layer of epithelial cells is removed from the surface of the cornea, the cornea is soaked with vitamin B2 drops and UV light is applied. This process allows us to trigger a chemical reaction in the tissue that stimulates the formation of additional links between collagen fibres. These links increase the rigidity of the cornea and stop the further progression of the disease. After surgery, a therapeutic contact lens is inserted into the eye which protects the cornea as it heals. In the first several days after surgery, our doctors are available to you over the telephone 24 hours a day. We believe that quick and easy doctor availability is very important because it provides our patients with safety and peace of mind.

     
  • Post-surgery examination
    Duration: 15 minutes

    The first post-operative examination is performed two to three days after surgery. Afterwards, the frequency of examinations is adapted to the course of recovery. In the first days after surgery, it is possible that you will feel pain, vision is frequently opaque and the light may dazzle you. It is important to know that the first results of treatment appear only after eight weeks and that the final evaluation of surgerical success can only be made after one year. The result after surgery depends primarily on the degree of corneal impairment. After the conclusion of treatment, we recommend that you undergo regular annual check-ups which allow us to monitor the cornea's condition.

     

FAQ

Will my eyesight improve after surgery?

This surgery is not intended to improve eyesight. It is meant to stop the progression of the disease and to avoid corneal transplantation. We certainly try to preserve visual acuity to the patient’s benefit and satisfaction. But the result after surgery is primarily conditioned by the degree of corneal impairment. It can remain unchanged and in many patients it does slightly improve.

Is it possible to correct the refractive error using a laser after this surgery?

Patients who are successfully treated with crosslinking during the early stages of the disease, have a stable dioptric value after surgery and whose cornea is thick enough, can undergo laser refractive vision correction using the LASEK method.

When is the most appropriate time to decide for treatment?

Given the confirmed excellent results and safety of keratoconus treatment using the crosslinking method, we suggest you undergo treatment in the earliest stage possible. This allows us not only to preserve the cornea, but also good eyesight.

Is the treatment of both eyes recommendable even if eyesight is poor in only one eye?

This disease usually afflicts both eyes but does not progress at the same speed. Visual acuity is first poor in only one eye. If an examination reveals the onset of the development of this disease in the other eye, we recommend you undergo treatment in both eyes. This also prevents the worsening of visual acuity in 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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