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IN THE PAST FEW YEARS, SEVERAL NEW TECHNIQUES AND TECHNOLOGIES HAVE BEEN DEVELOPED FOR THE PROPER AND TIMELY TREATMENT OF KERATOCONUS, AND CORNEAL ECTASIA OCCURIRING AFTER PERFORMING LVC FOR THE NON-SUITABLE PATIENT

Until recently, patients have worn contact lenses unless they needed a cornea transplant – there was no choice and no way of stopping keratoconus from getting worse. Dr Khalil is offering all the revolutionary new approaches in a tailored manner giving each individual of his patients with keratoconus the best .treatment suitable for his individual case.

With the presence of several lines of treatment, Keratoconus is unique in that there is no definite line of treatment for all cases. Each case needs a very individualised approach for its management, whether one procedure or several successive procedures

collagen cross linking (cxl) for the treatment of keratoconus at Dr Khalil Eye CLinic in Cairo

COLLAGEN CROSS LINKING

A transformation in keratoconus treatment that stops it from getting worse

Collagen cross linking is an important new treatment that stops keratoconus from getting worse. Cross linking increases the strength of the collagen in keratoconic corneas by 3–4 times. It sis carried out with some of the best equipment available today.

lens implantation in keratoconus to obtain good vision

LENS IMPLANTATION (PHAKIC IOLS)

An effective treatment after cornea shape is normalised

These are lenses put over the normally present lenses. They work together with the eye’s natural lens which is not removed. In a normal cornea it is capable of correcting even the most severe short sight and astigmatism. In keratoconus it is most effective after collagen cross linking, laser or rings implantation have been done to stabilise the cornea and normalise its shape as much as possible

RGP and Rose-K contact lenses for keratoconus

RGP CONTACT LENSES, ROSE-K LENSES

Contact lenses do not change the keratoconus, but cover the protrusion on the cornea so neutralising it. Normal vision is restored to all except advanced cases. Lifelong wear is necessary.

ring implantation in the cornea in Cairo, Egypt

RINGS IMPLANTATION INSIDE THE CORNEA

to reduce excessive curvature in advanced keratoconus

These are small pieces of plastic inserted into a channel created in the cornea to stretch it and bring it back to near its original configuration. They can’t be felt and require no maintenance. They are normally invisible except on close inspection when they look like a contact lens on the eye

penetrating keratoplasty, corneal transplantation

CORNEAL TRANSPLANTATION

A long-established treatment for the most severe cases

The centre of the patient’s own cornea is completely removed and replaced by another corneal transplant. The transplant is sutured in place of the conical cornea. This is the longest-established treatment for severe keratoconus.

laser treatment can be used in rare instances of keratoconus

LASER

Laser treatment can be used to treat keratoconus in some rare occcasions by using a cornea topographer to guide the laser, or what is called topography-guided treatment. This is an important development, but Dr Ahmad Khalil reserves it to very rare cases, where the cornea is stable, with a minimal refractive error untreatable by other means.


د أحمد خليل عن القرنية المخروطية

About Keratoconus and Ectasia


What is the best treatment for keratoconus?
Contrary to many common eye conditions, keratoconus and ectasia do not have a single preferable solution. There are many new modalities for treatment, and for each case there is one or more specific treatment which is most useful for this particular case. Sometimes, it is collagen cross linking, other times it is ring implantaion and other times lens implantation or contact lens, and frequently a combination of one or more of these done one after another
Do all cases with keratoconus need treatment?
No, in many instances, keratoconus can only be a mild disease which does not affect the eyesight much, and if these cases are stable, then no special treatment is required
For more information on keratoconus and its possible treatment lines, or or to book your appointment

At Dr Khalil Eye Clinic


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