Advantages and Disadvantages of Cornea Transplant and Scleral Lenses For the Treatment of Advanced Keratoconus

Cornea Transplants and Scleral Lenses for Keratoconus

Picking the right treatment for any disease plays a vital role in recovery. There are several different treatment methods for advanced keratoconus. But in this article, we will try to help you understand just two treatment types better – cornea transplant and scleral lenses.

These two keratoconus treatment options are among the most popular treatment options. They are regularly touted as the easiest and most effective treatment methods in some quarters. But when you are done reading this article, you’d be well informed to form your own opinions about them.

Keratoconus is a progressive medical condition of the eye that affects the cornea. The cornea thins and bugles out like a cone, leading to vision problems. Keratoconus treatment helps to halt the progression of the disease. And in some cases, they help keratoconus patients with partial visual rehabilitation. New treatment methods are still being discovered, so there’s no particular best treatment or most effective. It all depends on you.

For non-medical students or practitioners, the definition and explanation of keratoconus given above is still very likely to leave you confused. Let me break it down for you to understand much better.

Keratoconus is a disease which makes the cornea of the eye, which is the transparent tissue in front of the eye, to bulge outward. When a person suffers from keratoconus, the clear dome-shaped tissue that covers the eye, particularly the cornea, thins, and bulges outward into a cone shape.

The cause of this disease is yet to be known, and it affects a small population of the world. The occurrence of keratoconus can be found in about one in every two thousand people*.

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My Keratoconus Experience: Baltimore’s top Keratoconus Doctor

Diagnosed with keratoconus at 14 years of age this patient has tried it all! He started off with soft contact lenses together with hard lenses, and then had his first corneal transplant in 1980. In 1990 he had a second corneal transplant but still left with poor vision. He was then prescribed hard lenses (RGP) but they were very uncomfortable and constantly popped out of his eyes. He finally found Dr. Azman, Baltimore’s top keratoconus doctor who prescribed him with scleral lenses. With the scleral lenses, he can wear them comfortably all day, they stay in his eyes, he can drive at night with no glare, and has the best vision he has had in many years!

Undiagnosed Eye Condition, Diagnosed as Keratoconus

A new patient to our office, a doctor himself, who sees his eye doctor on a routine basis, continues to comment that he still cannot see well with his new glasses. After seeing three different eye doctors there was no diagnosis and the patient was still unhappy with his vision. After a very thorough examination with Dr. Azman, the patient is diagnosed with keratoconus. With proper keratoconus treatments, the patient will have clear consistent vision with no glare! #ExcellentEyeCare #GreatVision #Keratoconus#NoDiagnosis Keratoconus Specialists of Maryland

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Beloved Fox TV meteorologist Jessica Starr, 35, worked for WJBK Fox 2 in Michigan kills herself a month after telling fans she was struggling from LASIK eye surgery

Beloved Fox TV meteorologist and mother-of-two, 35, kills herself a month after telling fans she was struggling to recover from eye surgery

A well-known Michigan meteorologist and mother-of-two has taken her own life.

Jessica Starr, 35, worked for WJBK Fox 2 since 2011. On Thursday morning, her colleagues cried as they announced her death on the air.

Starr, whose married name was Rose, had two young children. She leaves them behind along with her husband of eight years, Daniel.

In a statement issued on its website and read aloud by her colleagues on Thursday morning, Fox 2 said: ‘Last night we were informed of the heartbreaking news that our friend and colleague, meteorologist Jessica Starr took her life.

‘All of us here at FOX 2 are in deep shock and cannot believe that such a wonderful, bright and intelligent individual will no longer be with us.

‘Her family and friends will be in our thoughts and prayers in the coming days as we all deal with our grief.’

 Morning anchor Amy Andrews tweeted: ‘Our hearts are broken.’

Further details about her death have not yet been revealed.

Over the last month, Starr said she had been facing ‘challenging times’ since undergoing Lasik eye surgery.

She had the surgery in October and took four weeks off then returned to work for one day in November but it was too much of a struggle for her and she was back at home the next day.

In a video uploaded to her Facebook page on November 13, the day she went back to work, she was downcast as she asked viewers for their prayers and well wishes. Starr was struggling to recover from Lasik eye surgery. In her last post on her public Facebook page, she asked fans for their well wishes and said she was struggling to return to work.

‘If you have any tips I’d appreciate it, I’m trying to stay strong and get through this recovery.

‘Thanks again for all the wishes, I’m excited to be back I just want to get my vision back so I can keep you guys smiling,’ she said.

The following day, she posted that she had not yet been ready to go back to work.

‘Yesterday was a struggle for me. I really wanted to come back but I need more time to recover.

‘Please keep me in your thoughts during this challenging time. Will keep you updated,’ she said.

It was her final post.

Starr had two degrees, one in broadcast meteorology and one in geography and communications.

She regularly shared photographs of her happy family life on her public Facebook page.

Before working for Fox 2, she worked for Fox 45, WKAG 3 and WLNS.

Hers is the second laser-eye-related surgery in a month. In November, Canadian Paul Fitzpatrick, 56, took his own life after blaming the procedure for giving him 20 years of intolerable pain in his eyes.

Life After LASIK and Radial Keratotomy (RK)

Anyone with poor vision will tell you that it comes with a host of frustrations. You cannot see properly without contacts or glasses, and life is just that much harder than it is for everyone else. Many who experience this effect turn to eye surgery for help. They do their research, see a doctor, and settle on a treatment. Which is often LASIK. However, in the early ’80s and ’90s, many people went with Radial Keratotomy (RK), which is supposed to fix one’s eyesight and allow them to live a normal life. Unfortunately, they aren’t always so lucky.

Radial Keratotomy RK_Contact-Lenses

Eye Surgery Isn’t Perfect

The untold secret of eye surgeries is the complications that frequently come with them. In fact, significant proportions of patients report dissatisfaction with their procedures. The following are four statistics about post-surgery patients that you might find surprising. With Radial Keratotomy (RK) the statistics are even higher.

  • Experiencing at least one side effect – 53%
  • Not highly satisfied – 24%
  • Experiencing issues after six months – 22%
  • Repeat surgery required – 12%

The point is this: Treatments like LASIK and Radial Keratotomy (RK) are not perfect. Post-LASIK, RK, PRK, and other eye surgery complications are very real. If you choose to get a procedure, you could be a victim. That’s not to say that you should never consider an eye surgery. Instead, you should simply understand the risk that comes with them and have a post-surgery plan in case your treatment does not go as planned.

Am I Experiencing Symptoms?

If you have already had eye surgery, you may be experiencing symptoms. Some of the most common ones are blurry vision, double vision, ghosting, glare, halo effect, and starbursting.

 

What Are My Options?

So far, we’ve mostly talked about dark matters like surgery complications and symptoms. If you’re feeling overwhelmed and hopeless, you shouldn’t. There is a fix for these issues: Seeing Dr. Irwin Azman, a post-surgery specialist who has helped thousands of patients with their vision issues. Here’s what Dr. Azman can do for you:

  • Provide Personalized Treatment – In the course of a day, Dr. Azman will see many patients. One might need contact lenses after Radial keratotomy (RK) eye surgery, while another will require an entirely different treatment. What makes him such an effective doctor is his understanding that no solution is one size fits all. Instead, he treats each patient as a member of his own family. He starts with an in-depth conversation about medical history and symptoms. Next, he discusses treatment options with the patient, helping them understand each of them entirely. The result of this is an effective treatment plan that gives patients the highest level of care possible.

 

  • Solve Issues Other Doctors Cannot – One thing that Dr. Azman frequently hears from patients is that they have been to multiple doctors before and have been left unsatisfied. It is no mystery why. Many people will see a surgeon for their initial treatment, but find that this doctor is not equipped to help with post-treatment complications. Next, they’ll see a typical eye doctor, who also won’t have any answers. Their last stop is at Dr. Azman’s office, where they finally get the treatment they need. The reason is that these other doctors either have too general of knowledge or they specialize in the wrong area. Dr. Azman is the perfect option because he has decades of experience in this specific field.

 

  • Provide a Variety of Options – There is no single treatment option that we use to help our patients. Instead, we tailor our treatment to each individual that walks through our door. The ones that we most commonly use are soft contact lenses, RGP hard lenses, custom soft lenses, hybrid contact lenses ( SynergEyes), scleral contact lenses, custom scleral lenses, PVR PROSE, EyePrint PRO, and Boston Scleral lens. That being said, we have more tricks up our sleeve for more complicated cases, so no matter what you need, we will have a solution.

One thing that we see over and over again at Dr. Azman’s office is people that are deeply discouraged. The reason is that they have tried and tried to fix their vision issues, but to no avail. They come to Dr. Azman as their final option and hope for the best. Another thing we see again and again is the look on those people’s faces when they finally get the treatment they need. This is why we do what we do, and there is nothing more satisfying than a happy patient.

If you’re experiencing any adverse symptoms after your eye surgery, don’t think that you need to live with them. Instead, take control and see Dr. Azman. When you do, you will be one step closer to solving your issues and taking your life back.

Ravens Brandon Williams seeing more clearly after surgery to combat Keratoconus

By Childs Walker – Contact Reporter
The Baltimore Sun

(Kenneth K. Lam / Baltimore Sun)

Brandon Williams sat in his usual seat near the back of the Ravens’ meeting room, but something was wrong. The dry-erase board down front had dissolved into a blur of colors and squiggles. Williams squinted and blinked furiously but couldn’t bring the image into focus.

“Like I got sand in my eye almost,” the Ravens defensive tackle recalls.

Like many elite athletes, he had been able to count on near-perfect vision for most of his life. But seemingly overnight, he could not achieve this most basic of physical functions.

Williams finally went to his doctor and after a round of tests, learned he was suffering from keratoconus, a degenerative condition in which the corneas weaken and eventually bulge out, leading to blurry or distorted vision.

Click Here to Continue the Story

Hope For Post-LASIK Complications

Is There Hope For Post-LASIK Complications?

LASIK has saved millions of people with refractive eye problems around the word. The objective of this procedure is to restore to good vision and never be bothered with wearing contact lenses or eyeglasses. Regrettably, not all people who have undergone this procedure are free from the complications of LASIK.

The reported complications include blurry vision, dry eye, double vision, glare, halos and more. Initially, some of these side effects are experienced during the first few days, or even weeks after the surgery. However, as the months and years progress many are left with these life long side effects.

What Happens Next?

Prolong dry eye disease, blurry vision, double vision and the rest of the complications after LASIK can cause stress and depression. Although, according to reports, only one percent experience serious complications from the procedure, other reports indicate mild-moderate post LASIK complications to be as high as 40%.

If you have experienced the severe or moderate complications of post-LASIK surgery, the good news is, there is hope for you.

Post LASIK Eye Doctor

Seeking another eye doctor to treat the complications of the post eye restoration procedure is a common practice among patients suffering from the complications of the surgery. The fear of having to experience another blow from their previous eye doctor is dreadful, which is why patients are on the go to have their eyes check from one doctor to the another.

There is nothing wrong with this scenario – doctor shopping; second opinions are necessary. Seeing more than one doctor is draining, financially and physically, going to and fro to their respective clinics and be subjected to a series of eye tests again. What is wise and practical is to nail down one reputable eye doctor who specializes in the clinical pathway to treat the complications of the post-LASIK complications.

How to Find These Eye Doctor(s)

A cutting-edge practice that has the experience, knowledge, expertise, and passion defines an expert eye doctor. Global Contact Lens Specialists has affiliated trained doctors for the treatment and management of Post LASIK complications throughout the country:

Baltimore, Maryland Denver, Colorado | Seattle, Washington | Miami, Florida | Charlotte, North Carolina | Chicago, Illinois | Dallas, Texas | Youngstown, Ohio | Phoenix, Arizona | Philadelphia, Pennsylvania | Boston, Massachusetts | New York, New York | Salt Lake City, Utah

Complications After LASIK Surgery

What To Do After Lasik Surgery?

LASIK eye surgery is a procedure to correct refractive errors. This method has become very popular across the globe, making it very accessible to all with a refractive eye problem. LASIK allows the eye to be free from contact lenses and eyeglasses for a very long time. In fact, millions of people in the US have undergone this procedure to correct their vision. However, there are also side effects or complications of this procedure that you need to know.

After LASIK

The common side effects of LASIK surgery include, haze, seeing halos around the eye, dry eyes and fluctuating vision. These side effects are expected to last for a few weeks, and in some cases for more than four month. However, some common side effects can trigger a more serious problem.

The complications of this procedure are a game changer. One might suffer from moderate to severe visual aberrations. Apart from the physical stress,  one has to address the emotional and psychological anxiety caused by the postoperative outcome.

What People Are Commonly Doing

Unfortunately, patients having suffered the complications of the eye procedure would seek another eye doctor to treat their condition.  Eyesight restoration after the LASIK surgery is not for every eye doctor to treat. It takes expert knowledge and skills to restore the damaged cornea caused by LASIK. Often patients will go back  for a LASIK touch-up or enhancement, but unfortunately this can increase the complications.

Expert Eye Doctor

What separates an eye doctor to another eye doctor is their expertise in the field. Second opinions, in this case, are necessary to put an end to one’s vision problem. The main goal here is to seek a treatment that can restore the eyes to its fullest.

There is hope for people with post LASIK complications. There are expert eye doctors who have the experience, invested in acquiring the most modern equipment, continue to advance their knowledge and skills to help those who are not completely free from post LASIK vision problems.

Where To Find The Experts

Hopping from one doctor to the other does not offer a guarantee of a complete treatment. What is vital here is for one to connect with a dependable eye doctor, that is known in the eye industry. A doctor who can help manage and treat the complications of post-LASIK successfully. The post LASIK management and treatment is often a non-surgical intervention with the use of (specialty) contact lenses, scleral lenses, PVR PROSE, EyePrint Pro, and other options. (soft lenses, RGP lenses, hybrids, scleral hybrids)

LASIK surgery is a modern way to correct the eye vision caused by a refractive error, and there are post-surgery complications that some people have suffered. Fortunately, these complications are treatable by doctors who specialize in the restoration of post refractive surgery.

For more information visit LASIKFailures.com

PVR PROSE Lenses – Stevens Johnson Syndrome (SJS)

Stevens Johnson syndrome (SJS) and the more severe variant of the disease, toxic epidermal necrolysis syndrome (TENS), are intense autoimmune sensitivity reactions to infections or medications that primarily affect the skin and mucus membranes, including the eyes. Patients with Stevens-Johnson Syndrome have a tendency to have ocular difficulties including dry eyes, eye pain, light sensitivity, scarring, and corneal erosion. Global Complex Eye Care has helped many patients restore vision and quality of life transformed with his innovative treatments.

PVR PROSE Lenses:

PVR PROSE- Precision Vision Rehabilitation  Prosthetic Replacement of the Ocular Surface Ecosystem

PVR PROSE Lenses are large-diameter gas permeable prosthetic lens specially designed to vault over the entire corneal surface and rest on the “white” of the eye (sclera). In doing so, scleral lenses functionally replace the irregular cornea with a perfectly smooth optical surface to correct vision problems caused by Lasik failures, post-surgical complications, and other corneal irregularities.

PROSE Lenses - Stevens Johnson Syndrome (SJS)

PVR PROSE Lenses are designed to vault the corneal surface and rest on the less sensitive surface of the sclera, these prosthetic lenses often are more comfortable for a person with corneal irregularities. A special liquid fills the space between the back surface of the lens and the front surface of the cornea. This liquid acts as a buffer and protects the compromised corneal tissue. PVR PROSE Lenses  are designed to fit with little or no lens movement during blinks, making them more stable on the eye, compared with traditional corneal gas permeable lenses. These lenses are almost always very comfortable and the vision provided by them is extremely good. The great majority of patients are able to wear their PVR PROSE Lenses almost all of their waking hours without problems.

Dr. Irwin Azman prescribes PVR PROSE Lenses for a variety of hard-to-fit eyes, including patients with Stevens-Johnson Syndrome, Radial Keratotomy (RK) and Lasik Complications, Keratoconus, Corneal Ectasia, Post-Surgical Vision Loss, and Pellucid Marginal Degeneration.

 

PROSE Lenses – Pellucid Marginal Degeneration (PMD)

Pellucid Marginal Degeneration:

Pellucid Marginal Degeneration is a sub-category of Keratoconus. Pellucid corneas involve a larger distorted geographic area usually extending from the inferior corneal margins up to the center of the cornea. It is not unusual for 50% or more of the corneal surface to be involved. Because so much of the cornea can be affected, fitting this type of cornea can be challenging. The problem we face as eye care practitioners is fitting the steep areas if the cornea without adversely affecting the flatter areas.

PVR PROSE Lenses | GPVR PROSE Treatment:

PVR PROSE- Precision Vision Rehabilitation  Prosthetic Replacement of the Ocular Surface Ecosystem

Our PVR PROSE Treatment is a process that uses a prosthetic device, like a scleral lens, to replace the ocular surface to provide functional vision to complex corneal conditions. Utilizing our knowledge, experience, and technology, like the Vistante- Optical Coherence Tomography OCT, we are able to customize a prosthetic PROSE lens, with the precise measurements down to the micron. With an exact fit, there is proper movement, comfort, and perfect vision.

PROSE Lenses are large-diameter gas permeable contact lenses specially designed to vault the entire corneal surface and rest on the “white” of the eye (sclera). In doing so, PROSE scleral lenses functionally replace the irregular cornea with a perfectly smooth optical surface to correct vision problems caused by, keratoconus, Lasik failures, post-surgical complications, and other corneal irregularities.

Because PROSE Lenses / scleral lenses are designed to vault the corneal surface and rest on the less sensitive surface of the sclera, these lenses often are more comfortable for a person with corneal irregularities caused by keratoconus and other corneal irregularities A special liquid fills the space between the back surface of the lens and the front surface of the cornea. This liquid acts as a buffer and protects the compromised corneal tissue. Scleral lenses are designed to fit with little or no lens movement during blinks, making them more stable on the eye, compared with traditional corneal gas permeable lenses. These lenses are almost always very comfortable and the vision provided by them is extremely good. The great majority of patients are able to wear their scleral lenses almost all of their waking hours without problems.

Dr. Irwin Azman, Keratoconus Specialists in Maryland, prescribes PVR PROSE Lenses for a variety of hard-to-fit eyes, including patients with Stevens-Johnson Syndrome, Radial Keratotomy and Lasik Complications and Lasik failures, keratoconus, Corneal Ectasia, Post-Surgical Vision Loss, and Pellucid Marginal Degeneration.

Dr. Irwin Azman specializes in keratoconus, LASIK failures and other corneal irregularities neither avoids nor declines the challenge of prescribing the most difficult cases.