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Showing posts from December, 2015

Dry Eyes

Dry eye can really stir some emotional issues with patients experiencing them. Generally, lubricating drops are being prescribed.  In some cases, the whole regimen of steroids, warm compress, lid scrubs, cyclosporine drops are being given.  Many get by with just using the drops, however, we have seen even the toughest individual shatter, completely broken down and incapacitated by their dry eyes.  Dry eyes cannot really be treated, but can be managed considerably.  The patient and the doctor has to find the sweet spot and the balance for the regimen to work their wonders. Looking for the right combination is a crucial thing.  Definitely with compliance, patient's issue of grittiness, stinging sensation will improve.  It does not work in a day or  in a week.  But definitely in a month's time, improvement can be felt and seen.  Scleral lenses can also play a big part in dry eye management.  As the bowl of the contact lens is filled with liquid, then the cornea is bathe in moistu…

Is Collagen Cross Linking A Must?

We know that keratoconus is a condition that progresses and can lead to possible corneal transplants.  With scleral lenses, indeed we can delay that by still proving functional vision to patients, however, we still believe that collagen cross linking is a must to strengthen the chemical bonds in the cornea.  It is a simple process where the ophthalmologist will expose your cornea to UV light and put riboflavin or Vit B2 drops on it for every few minutes.  This can either be done with the corneal epithelium off or intact.   After the procedure, your corneal collagen bonds will be stronger resisting the fast progression of the cone.  This will give you stability of vision as well.  
Who are candidates for collagen cross linking?
It is best for patients with keratoconus to have this procedure done earlier, before the cornea becomes too irregular and too thin.  
When will it be a good time to wear contact lens again?
Well, it depends on the ophthalmologist who did the procedure.  But normally…