Search found 13 matches

by NickDash
Wed 10 Oct 2012 2:23 pm
Forum: General Discussion Forum
Topic: Holcomb C3R treatment
Replies: 5
Views: 10162

Re: Holcomb C3R treatment

The so called 'Holcomb Procedure" is Corneal Cross linking with a variation on the basic C3R or Corneal Cross Linking. It show the benefits of Corneal Cross Linking for KC. In North America there has been a restriction where regulatory bodies called for the epithelium to be left on. Epi ON or E...
by NickDash
Thu 07 Jun 2012 1:06 pm
Forum: General Discussion Forum
Topic: Optical Aberation after CXL
Replies: 4
Views: 3667

Re: Optical Aberation after CXL

Optical aberrations will fluctuate after Cross-Linking as the cornea continues to stabalise. We know that improvements in stability continue for the first 3 years. (In some cases it might get worse immediately after surgery before getting better. Corneal cross linking will not eliminate all aberrati...
by NickDash
Fri 02 Dec 2011 7:07 pm
Forum: General Discussion Forum
Topic: worried mum
Replies: 3
Views: 2995

Re: worried mum

Your story is unfortunately quite common. 1 in 2000 people suffer from Keratoconus, albeit with different levels of severity. Perhaps your son is reluctant to wear his spectacles because they can not correct the irregularities that exist in the cornea of keratoconic patients. There is a need to crea...
by NickDash
Wed 31 Aug 2011 11:31 am
Forum: General Discussion Forum
Topic: CK For Keratoconus
Replies: 4
Views: 3408

Re: CK For Keratoconus

All So the news of CK and C3R (or Corneal Cross Linking) has raised its' head. The evidence for cross linking offering a benefit long term is overwhelming. But as Lynn says CK has only been described as a transient correction. We will have to wait a few years before we see if the corneal remodelling...
by NickDash
Wed 31 Aug 2011 11:11 am
Forum: General Discussion Forum
Topic: how does KC progression manifest
Replies: 12
Views: 7559

Re: how does KC progression manifest

Andrew In the vast majority of patients Keratoconus is progressive during the second, third and forth decade of life. Whilst the progression is not always gradual the inevitable process is occuring until the corneal naturally cross links with age. (as our skin ages and looses its elasticity so does...
by NickDash
Wed 31 Aug 2011 10:49 am
Forum: General Discussion Forum
Topic: East Midlands local group?
Replies: 13
Views: 7657

Re: East Midlands local group?

Hi I am happy to be a speaker if we can arrange an appropriate time. I am an Corneal Specialist Optometrist with more than 2 decades experience of diagnosing and managing Keratoconus. I speak at international clinical symposiums and conferences. I can answer questions on Diagnosis Contact lenses Co...
by NickDash
Thu 25 Aug 2011 1:22 pm
Forum: General Discussion Forum
Topic: Topography scans possible with deep set eyes?
Replies: 8
Views: 10379

Re: Topography scans possible with deep set eyes?

Russ Sorry to hear that the NHS is again not offering the basic level of care needed for KC. Either this is a limit of the equipment or limit of the skill of the technician that has tried to acquire the topographies. Either way you should potentially try a private clinic which specialises in Keratoc...
by NickDash
Mon 06 Jun 2011 3:11 pm
Forum: General Discussion Forum
Topic: Dealing with post-C3R pain
Replies: 3
Views: 4108

Re: Dealing with post-C3R pain

Pain management following Cross Linking is achieved principally by the use of a bandage contact lens and the correct eye drops. The use of a pre-soaked bandage contact lens can help post-operative pain management. The mechanism of epithelial removal will determine the level of pain, mechanical or l...
by NickDash
Mon 06 Jun 2011 2:50 pm
Forum: General Discussion Forum
Topic: CROSSLINKING IN BOTH EYES - WHAT TO EXPECT
Replies: 3
Views: 2811

Re: CROSSLINKING IN BOTH EYES - WHAT TO EXPECT

Caroline
Certainly let the clinic know you are on your own.
They will advise you of the impact of surgery.
Your Ophthalmologist has no doubt assessed this but may be unaware that you will be on your own.

Nick
by NickDash
Mon 06 Jun 2011 2:38 pm
Forum: General Discussion Forum
Topic: CXL Recovery time from work?
Replies: 3
Views: 3533

Re: CXL Recovery time from work?

Anne is correct that recovery times differ from patient to patient. Firstly it depends on the quality of vision in the non treated eye. You will be relying on this for a few weeks, until the vision recovers in the treated eye. It also depends on the method of epithelial removal, if the epi is remov...

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