{"id":707,"date":"2015-09-27T18:33:55","date_gmt":"2015-09-27T17:33:55","guid":{"rendered":"http:\/\/brusselseyecenter.be\/?page_id=707"},"modified":"2015-09-27T18:48:16","modified_gmt":"2015-09-27T17:48:16","slug":"keratoconus","status":"publish","type":"page","link":"https:\/\/brusselseyecenter.be\/en\/keratoconus\/","title":{"rendered":"KERATOCONUS"},"content":{"rendered":"<p>      Evolutive corneal disease inducing astigmatism, irregular astigmatism and sometimes myopia and reducing the best-corrected visual acuity. It occurs usually around 20 years old.<\/p>\n<p>      <strong>SEMI-RIGID, GAS PERMEABLE CONTACT LENSES: <\/strong><br \/>\n      These are contact lenses correcting corneal astigmatism and in some cases, irregular astigmatism. Some lenses are especially designed for keratoconus.<\/p>\n<p>&#xA0;<\/p>\n<p><a name=\"ccl\" id=\"ccl\"><\/a> <\/p>\n<p><strong>CORNEAL CROSS-LINKING&#xA0;:<\/strong><br \/>\n    It&#x2019;s a technique used to freeze the cornea suffering from keratoconus. The principle is applying ultra-violets rays with riboflavin, to induce photo polymerisation of collagen.<\/p>\n<p>Treatment begins by mechanical desepithelialisation or by laser Excimer. Riboflavin is instilled during 15 to 30 minutes. Then, ultra-violets are applied during 30 minutes. <br \/>\n    Corneal cross-linking is performed under topical anaesthesia by drops. Pain can occur during the first 24 to 48 hours.<\/p>\n<p>      In some cases, Corneal Cross-Linking is combined with <a href=\"\/en\/wp\/en\/refractive-surgery-prk\/\">PRK<\/a> or <a href=\"\/en\/wp\/en\/recurrent-corneal-erosions\/\">PTK<\/a> by <a href=\"\/en\/wp\/en\/refractive-surgery-laser-excimer\/\">laser Excimer,<\/a> at the end of surgery.<\/p>\n<p align=\"center\"><img fetchpriority=\"high\" decoding=\"async\" src=\"\\wp\\wp-content\\uploads\\2015\\09\\cornealcrosslinking.jpg\" alt=\"corneal cross linking\" width=\"297\" height=\"239\"><\/p>\n<p>&#xA0;<\/p>\n<p><strong>INTRA-OCULAR RINGS :<\/strong><br \/>\n    It&#x2019;s a technique used to freeze the cornea suffering from keratoconus. The principle is applying ultra-violets rays with riboflavin, to induce photo polymerisation of collagen. Treatment begins by mechanical desepithelialisation or by laser Excimer. Riboflavin is instilled during 15 to 30 minutes. Then, ultra-violets are applied during 30 minutes.<\/p>\n<p>\n      Corneal cross-linking is performed under topical anaesthesia by drops. Pain can occur during the first 24 to 48 hours.<br \/>\n      In some cases, Corneal Cross-Linking is combined with PRK or PTK by laser Excimer at the end of surgery.<\/p>\n<p>&#xA0;<\/p>\n<p>&#xA0;<\/p>\n<p><a name=\"phakic\" id=\"phakic\"><\/a><\/p>\n<p><strong>INTRA-CORNEAL RINGS (KERARING)<\/strong><br \/>\n    These are PMMA ring introduced in the steepist part of the cornea to reduce irregular astigmatism. One or two rings are necessary depending on each case.<\/p>\n<p>This surgical technique flattens the cornea and induces better visual acuity and better tolerance to contact lenses. This ambulatory surgery is performed by topical anesthesia with drops.<\/p>\n<p align=\"center\"><img decoding=\"async\" src=\"\\wp\\wp-content\\uploads\\2015\\09\\keraring.png\" alt=\"keraring\" width=\"239\" height=\"147\"><br \/>\n      <span class=\"gws\">Intracorneal ring KERARING<\/span><\/p>\n<p align=\"center\"><img decoding=\"async\" src=\"\\wp\\wp-content\\uploads\\2015\\09\\keraring_img2.jpg\" alt=\"keraring\" width=\"150\" height=\"109\"><br \/>\n      <span class=\"gws\">KERARING before &#8211; after<\/span><\/p>\n<p class=\"gws\">More info : <a href=\"http:\/\/www.mediphacos.com\" target=\"_blank\">www.mediphacos.com<\/a><\/p>\n<p>&#xA0;<\/p>\n<\/p>\n<p>    <strong>PHAKIC  INTRA-OCULAR LENS<\/strong><br \/>\nPhakic  intra-ocular lenses like <a href=\"\/en\/wp\/en\/intra-ocular-lenses-artisan\/\">ARTISAN<\/a>, <a href=\"\/en\/wp\/en\/intra-ocular-lenses-artiflex\/\">ARTIFLEX<\/a>, <a href=\"\/en\/wp\/en\/intra-ocular-lenses-visian-icl\/\">VISIAN ICL<\/a> and TORIC VISIAN ICL are  possible after stabilization of keratoconus by Corneal cross-linking with or  without Intra Corneal Rings to treat myopia and residual astigmatism.<\/p>\n<p>&#xA0;<\/p>\n<p><a name=\"graft\" id=\"graft\"><\/a> <\/p>\n<p><strong>CORNEAL GRAFT or PENETRATING KERATOPLASTY (PKP):<\/strong><br \/>\n    It&#x2019;s the last solution for keratoconus in case of no-stabilization and failure of other techniques like rigid contact lenses, cross-linking or intra-ocular lenses and intra-corneal rings.<\/p>\n<p>      The purpose of corneal graft is to exchange the abnormal cornea by the cornea of a donor. It can be penetrating deep or lamellar graft on a part of the center cornea.<br \/>\n      Deep lamellar or penetrating keratoplasty need sutures on the cornea at the end of the surgery. Sutures can be removed only after one year. Residual myopia and astigmatism after the removal of the sutures can be treated by Lasik and if they are very high, by Phakic intra-ocular lenses: <a href=\"\/en\/wp\/en\/intra-ocular-lenses-artisan\/\">ARTISAN<\/a>, <a href=\"\/en\/wp\/en\/intra-ocular-lenses-artiflex\/\">ARTIFLEX<\/a>, or <a href=\"\/en\/wp\/en\/intra-ocular-lenses-visian-icl\/\">TORIC ICL<\/a>.<\/p>\n<p>&#xA0;<\/p>\n<p>&#xA0;<\/p>","protected":false},"excerpt":{"rendered":"<p>Evolutive corneal disease inducing astigmatism, irregular astigmatism and sometimes myopia and reducing the best-corrected visual acuity. It occurs usually around 20 years old. SEMI-RIGID, GAS PERMEABLE CONTACT LENSES: These are contact lenses correcting corneal astigmatism and in some cases, irregular astigmatism. Some lenses are especially designed for keratoconus. &#xA0; CORNEAL CROSS-LINKING&#xA0;: It&#x2019;s a technique used [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-2-columns-content-right.php","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>KERATOCONUS - Brussels Eye Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/brusselseyecenter.be\/en\/keratoconus\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"KERATOCONUS - Brussels Eye Center\" \/>\n<meta property=\"og:description\" content=\"Evolutive corneal disease inducing astigmatism, irregular astigmatism and sometimes myopia and reducing the best-corrected visual acuity. It occurs usually around 20 years old. SEMI-RIGID, GAS PERMEABLE CONTACT LENSES: These are contact lenses correcting corneal astigmatism and in some cases, irregular astigmatism. 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