Until just a few years ago, we could only offer corneal transplants for those with keratoconus. Now we have a variety of new modalities, which include the following:
- Collagen Corneal Cross-Linking
- DALK with IntraLase.
Collagen corneal cross-linking will halt the progression of keratoconus in most cases. This procedure can be combined with Intacs in order to help reshape the cornea and improve the vision quality+ 80% of patients. Later, a small portion of the cornea can be removed with the excimer laser, which often results in further improvement of vision. An ICL can be inserted if the patient still has problems with near-sightedness or astigmatism. However, if the patients keratoconus is too advanced, we can perform a deep lamellar keratoplasty to remove the thin part of the cornea and replace it with a normal donor.