Corneal cross-linking is which is done to treat an eye disorder called keratoconus. In Keratoconus, the bilateral ocular disorder arises as the stromal collagen tissue gets thin over time resulting in cornea taking up a conical shape. The bulge created due to the conical shape of the cornea distorts the vision and makes it difficult to see. Although the chances of a person getting keratoconus are less, as the frequency of it happening is to 1 in 2000 people. It can starts anytime when puberty begins progresses until thirty to forty years of age, when it is usually diagnosed. In corneal cross-linking, the eye surgeon uses special eye drops and ultraviolet A (UVA) light in order to repair the corneal tissues and make them stronger. to make the tissues in your cornea stronger. Ths the bulging, thereby improving the vision. The surgery is called “cross-linking” as it crosses links and strengthens the network of collagen fibres in your eye. Currently, Corneal collagen cross-linking is the only quality treatment to treat a thinning cornea and improve the distorting vision. Corneal cross-linking may also avoid the need to get the corneal transplant done which is which is a major and complicated surgery. Keratoconus is detected with the help of a slit lamp examination and the diagnosis can be confirmed by corneal topography.
Damage to the eye's cornea is medically referred to as a corneal abrasion. It may occur in a split second. Something, such as grit or sand, becomes lodged behind your eyelid, or you accidentally puncture your eye. To the extent that you can do so, closing your vision does not alleviate the pain. It hurts and stings when exposed to light. Your cornea bears it. The crystalline layer covers the iris, the colorful portion of the eye. Additionally, it protects the black circle in the center of your eye, known as the pupil.
Most transplants can be performed while you are awake. Meds to help you chill down will be administered. Local anesthesia will be distributed around your eye as a pain reliever to keep your look from moving during surgery. The cornea you'll get in a cornea transplant will originate from a recently deceased individual. A local eye bank will prepare the cornea for your procedure by thoroughly inspecting and testing it.
Your cornea will probably be scratched by any item that comes into close contact with the front of your eyes. Let's have a look at some other circumstances that might lead to abrasion of the cornea:
Because the cornea is one of the delicate components, even the smallest scrape may cause excruciating pain and great unease. The following are some of the indications and symptoms of a corneal abrasion:
The following patients are considered to be the eligible for corneal collagen cross-linking.
There are two types: epi-off and epi-on. “Epi” is is used for epithelium, the tissue that covers your cornea. In the epi-off technique, the epithelium is removed before the doctor puts the drops in. This allows the eye to absorb the vitamins and light better. However, this may have a little risk in the future. In the epi-on technique, the doctor does not touch the epithelium. Therefore, there is lesser pain and a short recovery.
Your eye will be treated depending on the findings of the exam that your ophthalmologist performs on it. The following are some available choices.
Before starting with the corneal collagen cross-linking treatment, the surgeon administers topical anaesthesia to the patient in a sterile environment. The doctor then begins with gently removing the patient's corneal epithelium. Following this, the surgeon applies a Riboflavin solution every 5 minutes for the first half an hour. After this, the doctor exposes the patient's cornea to UVA light for about 30 minutes. The total treatment lasts for about an hour is painless. In the end, the eye is patched. The cornea is the clear, dome-shaped surface of the front of the eye which allows light to pass into the eye and provides focus to see images clearly. The loss in the corneal transparency results in loss of vision.
The corneal collagen cross-linking treatment depends on the type of treatment technique you opt for. In the epi-on procedure, the procedure is painless and recovery is short. Where you can be able to resume your regular activities the next day including ear contact lenses. In the epi-off procedure, there may be some pain for the first several days of the surgery. It may take up to 7-10 days before you resume your routine activities but for the epithelium to completely heal, it can take several weeks. After epi-off surgery, the doctor will prescribe antibiotics and steroid eye drops for up to 2 weeks. You will able to wear regular contacts after 2-4 weeks after the corneal cross-linking surgery, but the vision will change over 3-6 months.
Like other surgeries, epi-off corneal cross-linking surgery can have a few risks and complications which include:
The epi-on corneal cross-linking procedure doesn't have any risks or side effects.
When something scratches their eye, most individuals are aware of it very immediately. If there is pain in the eye, it may result from a corneal abrasion. Even a little scratch or cut to the cornea may cause great discomfort. It is possible to self-inflict a corneal abrasion and not even be aware of it. This can occur if you attempt to remove a contact lens from your eye while the lens is not really on your vision. A superficial scratch on the cornea may be caused by accidentally rubbing a finger over it. It is critical to get any damage to the cornea checked up by your eye doctor if any of the following apply:
CureIndia helps you choose the right doctor for your medical treatment. Most of the doctors in our associated hospitals have been internationally trained and are active members of many international medical councils and associations.
Let's hear from some of the most reputed dcotor's for Corneal treatment in India.
The brain has an incredible immune system, but it is possible to protect your eyes from bumps and bruises. You should always wear safety glasses when doing work that might cause eye damage. Contact sports and sports involving the use of fast-moving items, such as baseball, badminton, racquetball, and soccer, all need protective eyewear, such as sports goggles.
Keeping trees trimmed above people's heads is a simple technique to reduce the risk of accidents happening in high-traffic areas, particularly near sidewalks. If your contact lenses are causing you pain, you should stop using them and make an appointment with your doctor. Never use contact lenses unless your doctor has permitted you to do so.
If your eye continues to be red or painful following treatment, or if your vision continues to blur, you should make an appointment with an ophthalmologist or call the emergency room. However, if the ophthalmologist dilates your pupils, your eye may remain blurry for up to 24 hours.
Gleneagles Global Hospital, Bangalore 
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Dr. Ajay Sharma 
Dr. Aniel Malhotra 
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