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Suggest Treatment For Keratoconus Disease

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Posted on Mon, 23 Jan 2017
Question: Dear Doctor

My name is XXXX, i am 36 year old male.

I was diagonised with Keratoconus in 2004 (when i was 24) and doctor suggested me RGP lenses, since my left eye has more progression, in 2007 i underwent CXL and in 2015 for my left eye i started using XXXXXXX k lenses and still for my right eye i am using normal RGP lenses, yesterday i met my doctor again he suggested me to do CXL in my right eye and after some time repeat CXL in left eye, also he mentioned no progression for last two years, but compared to 2007 there were progression in both the eyes.

I went for second opinion to new doctor he suggested to do cxl with intacts, now i am confused whether to do cxl or with intacts

Please suggest me
doctor
Answered by Dr. Ashok Kumar Dash (21 hours later)
Brief Answer:
Hard contact lens is an option. Refractory surgery will not help

Detailed Answer:
It is a congenital problem and hard contact lens is the only option. Should have given visual status of both eye. Refractive surgery is not posible. Refraction can be done and best posible cylindrical correction can be given for which patient is more comfortable and accept it. Best vision possible should be maintained. Cylindrical correction is also an option.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Ashok Kumar Dash (14 hours later)
Hello doctor thanks for the answer

But the doctor suggested me corneal cross linking and not the refractivesurgery
doctor
Answered by Dr. Ashok Kumar Dash (11 hours later)
Brief Answer:
take second opinion about corneal cross linking.

Detailed Answer:

Take second opinion on corneal cross linking. have many contraindication like thin cornea and opacity. so result is not guaranteed. i stand by my earlier advise
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
Answered by
Dr.
Dr. Ashok Kumar Dash

Ophthalmologist

Practicing since :1969

Answered : 12704 Questions

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Suggest Treatment For Keratoconus Disease

Brief Answer: Hard contact lens is an option. Refractory surgery will not help Detailed Answer: It is a congenital problem and hard contact lens is the only option. Should have given visual status of both eye. Refractive surgery is not posible. Refraction can be done and best posible cylindrical correction can be given for which patient is more comfortable and accept it. Best vision possible should be maintained. Cylindrical correction is also an option.