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Post Info TOPIC: Are PRK and CK considered safe for Keratoconus patients?
Anonymous

Date: Thu Oct 12 3:15 AM, 2017
Are PRK and CK considered safe for Keratoconus patients?
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Hi. I am a KC patient and I had crosslinking and an intac a few weeks ago with good results. That said, I still need glasses all the time for astigmatism/myopia, which I HATE wearing. The opthalmologist/KC specialist said I would be a candidate for CK now and possibly PRK in the future given my goal to not need glasses as much. However I am having trouble finding out if these procedures are truly safe in a KC patient. I see mixed things about it on line and my optometrist said he doesn't think people with KC should have any sort of refractive surgeries like CK and PRK. Would appreciate any info on the safety of these treatments (CK and PRK) in KC patients. Admittedly my main reason for wanting these treatments is vanity, as my eyes are my best feature. But I also just feel more connected to others when I can look at th in the eyes without glasses. Thanks.

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Date: Fri Oct 13 5:56 AM, 2017
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Have you tried conventional soft lenses? If you only need glasses, then there is a good chance conventional contact lenses will work too. I agree with your optometrist about avoiding refractive procedures. People with normal corneas get bad results from refractive surgery. Why take that chance knowing that you are in a higher risk category? 



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Anonymous

Date: Fri Oct 13 9:53 PM, 2017
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Hi. Yes thanks. I should have specified. I've tried wearing soft lenses and hard lenses over the years, even well before Keratoconus, and was never able to get them in or out of my eyes. I would try for hours at a time with professionals assisting me but just couldn't do it. I'd just end up with extremely red irritated eyes and still couldn't get them in. I see people on the board reporting good results with PRK but I am wary of the risks given I'm correctable to 20/20 with glasses.

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Date: Mon Oct 16 9:34 PM, 2017
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A lot of people with eyes that are their best feature use glasses to accentuate their eyes, to the point of wearing glasses that have no prescription. Since you can get a 20/20 correction with glasses, and you can't get the hang of wearing contact lenses, looking for fashionable frames might be the path of least resistance. Have you tried lenses with a high refractive index to lessen the distortion of your eyes by the lenses? (I'm guessing you have a fairly strong prescription.)

Most people who wear contact lenses probably find it hard to understand why someone finds it difficult to insert and remove the lenses. Once you find a routine that works, it gets to be like tying your shoes. I sort of remember how hard I found it at first. I took my wife with me to the optometrist so she could learn how to remove my lenses if necessary. And I did need her to do it for me a few times in the first month of wearing lenses. If you do decide to give contact lenses another try, don't keep going if you irritate your eye. Putting lenses in or removing them from an irritated, watering eye is much harder. So you need to try to get the job done before you irritate the eye. If you feel like you are starting to irritate the eye, stop! Let it settle down and try again. Even after two years, I find it hard to do anything with my lenses if the eye is irritated. Occasionally there will be something on the lens when I insert it and I can tell it is going to irritate my eye. It then becomes a race to get that lens out before the irritation makes it too difficult to remove the lens. I think you can see the catch-22 in that situation.

Good luck with whatever route you decide to go.

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