CROSSLINK (CCL- CORNEAL CROSS LINKING)
Crosslink treatment strengthens the bonds between the collagen fibers in the cornea. Therefore, this treatment helps strengthen the structure of the cornea almost like a vitamin for the eye. By using Ultraviolet A and Riboflavin in drop form, the bonds between the collagen fibers in the cornea are augmented and the cornea becomes stronger. Ultraviolet A and liquid riboflavin are used for this purpose. Riboflavin is instilled into the cornea for a long period and then UV-A is applied to the cornea in order to form cross-links. Visual increase can only be due to the strengthening of the corneal structure and the decrease of the abnormal cornea steepness.
Can crosslinking treatment be used in combination with Intacs or corneal transplantation?
Yes, it can be applied in combination. Crosslinking treatment can be applied before or after Intacs treatment or after cornea transplantation. This treatment should not be considered as a separate surgical procedure, because there is no surgical intervention made to the eye, it is applied by sending ultraviolet radiation to the eye without even making contact.
Is Crosslink treatment reliable?
Adequate corneal thickness is one of the necessary criterias for this treatment. Riboflavin, which is instilled into the eye before the procedure, also infuses into the eye in order to prevent any damage to the eye.
What is Intacs?
INTACS, also known as, corneal rings; is one of the treatment methods developed for keratoconus patients. 2 pieces of transparent semicircles are inserted into the cornea. Since these tiny rings are inserted into the eye by intralase tunneling through the laser method, they are completed in a very short time and there are no complications during the procedure. These rings are not noticeable from the outside and, most importantly, do not feel like contact lenses. The rings, which can be easily removed at any time, do not leave any permanent marks that affect the vision since they are not placed in the visual center. Rings of different thickness levels are placed according to the degree of the keratoconus disease. The purpose of placing the ring in the cornea is to return the central portion of the cornea to the normal anatomical position. With this treatment, the amount of vision without glasses will increase in keratoconus patients. The visual impairment of the patient is expected to decrease.
How is Intacs Applied?
INTACS is applied in 2 stages
- Tunneling with intralase (LASER) (15 sec.)
- Insertion of rings (max 5 min.)
- In the postoperative period, no restriction from daily life is required. Recovery period is accompanied by the use of eyedrops for a few weeks.