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Treatments

CORNEAL CROSSLINKING

Keratoconus is a non-inflammatory eye condition that can causes the cornea to thin and form a cone shape.

This causes blurred vision. The condition usually starts in the mid-late teenage years and can progress up to around the of 40yrs old. As we age the cornea naturally stiffens leading to the disease naturally burning out. Occasionally it may continue to progress beyond this age. Corneal crosslinking (CXL) is a preventative procedure that mimics this naturally occurring stiffening and stabilises the corneal shape preventing any further progression of keratoconus. 

Corneal crosslinking involves the administration of riboflavin (vitamin B2) onto the cornea once the epithelium has been removed. This allows it soak into the cornea. UV-A light is then applied to the cornea, which causes the formation of new bonds within the corneal collagen structure making it stiffer and halting further progression of the keratoconus. 

The CXL procedure can be varied to allow thin corneas to be treated. 

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CORNEAL CROSSLINKING

At a glance

Treatment

Frequently asked questions

This treatment may be recommended for any patient who has keratoconus that is showing signs of progression.

CXL is a safe procedure with minimal side effects and complications. These will be discussed in detail during your clinic consultation.

The procedure is painless due to the application of topical anaesthetic drops. There may be some discomfort in the first 48 hours but we will give you topical and oral anaesthetic medication. Aftercare will be discussed in detail at your consultation.

You will be monitored closely following CXL treatment. Your eye will be scanned at 3 and 6 months postoperatively to monitor for any further signs of progression. Occasionally the treatment may need to be repeated.

Expected side effects can include: discomfort and pain (first 48hrs), blurred vision, corneal haze (usually transient), grittiness, irritation (feeling like there’s something in your eye), dry eye and sensitivity to light. These usually settle spontaneously or following a course of topical steroid and lubricant drops.

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