Laser Eye Surgery Para-surgical therapy through Cross linking
The cornea affected by keratectasia present an alteration of the biomechanical resistance of its structure. Since the 1990s there has been a search for natural “collagens” that are able to increase the resistance of stromal collagen.
cornea affected by keratectasia
For some years the Riblavin-Vitamin B2 linked to UVA expositions was used with the aim of “strengthening” the corneal fibers, (at least for 2-3 years corresponding to the time needed for the renewal of collagen fibers), thus blocking the evolution of keratectasia. The intervention is performed in a sterile facility, with local anesthesia (eyedrops) for a duration of about 30 minutes after which the patient goes home.
keratectasia intervention
This method does not influence vision since it does not substantially modify the corneal curve, but aims at maintaining its form, and avoiding its worsening which would further compromise vision. The intervention may be repeated with time.
Patients suffering from phase I and II keratectasia with corneal thickness higher than 400 micron can be treated with cross linking.