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Post Info TOPIC: Superficial Keratectomy


Member

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Posts: 3
Date: Sat Mar 3 2:53 AM, 2007
Superficial Keratectomy
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Hi everyone-

I am new to this forum.


I was diagnosed with KC at 19 years of age.  I wore glasses for a couple of years after diagnosis until my night vision became really bad.  I then switched to RGP lenses which worked well for a while, but then started scratching and irritating my eyes.  My optomestrist then consulted a cornea specialist and I started wearing piggyback lenses.  These worked great for several years.

I started having alot of trouble wearing my lenses a few months ago.  My eyes become red, light sensitive and painful at times.  I decided to see the specalist once again.  He said that I need to have a procedure called superficial keratecomy because of scarring on both eyes.  He believes that the contact lenses are rubbing and irritating the scars causing the pain and redness. This procedure consists of scrapping off the outer layer of corneal cells where the scars are which allows new cells to grow.  The cornea is suppose to heal in a few days post-op.

I was wondering if anyone with KC has had this procedure and what the outcome was.  I feel a little nervous about this, even though it is considered a minor procedure.  I am scheduled to have the right eye done this Tuesday and would welcome any comments.

Thanks.

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Phase Two

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Posts: 479
Date: Sat Mar 3 4:42 PM, 2007
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Becs thanks for sharing you story and welcome,

This treatment sounds a bit like what they do in PTK, they also scrape of the Epithelium with the crosslinking treatment. Counting from last year 1000 procedures had been done (this figure must have increased dramatically, as over 300 specialst have been trained to do the crosslinking treatment world-wide, since the last year, which is more than double), the epithelium grew back with-out any trouble at all in a matter of a few days.

If the scaring is not deep then a new epithelium will get rid of this. I think like with all treatment, get treated in one eye and once recovered do the other eye, might be an avenue for you Becs, at least the recovery will be easier for you.

If in doubt get another opinion from another Dr. It can not only help you make a more informed choice. Please keep up posted, as there are many who would be helped with the invaluable information you hold about this. I am glad there is something like superfical Keratectomy... I REALLY HOPE IT IS THE WAY TO GO for you and others!

Every good wish 



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Member

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Posts: 3
Date: Sun Mar 4 1:54 AM, 2007
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Thank you for the information.  It did help put my mind a little more at ease.  I will certainly keep everyone informed about how the procedure goes. 

It is nice to find a place to share experiences and frustrations with people who truly understand!



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Member

Status: Offline
Posts: 3
Date: Wed Mar 14 12:54 AM, 2007
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Hello.

I just wanted to give you all an update on the superficial keratectomy that I had last week.

The procedure was performed last Tuesday (March 6th) by Dr. Francis Price, Jr. of the Price Vision Group in Indianapolis, IN.  My eye was numbed with a local anesthetic and there was minimal discomfort during the procedure.  The surgery last about 10 minutes to complete and then a soft bandage lens with placed over the operated cornea.  I did experience a little redness and discomfort (nothing worse than an abrasion from a contact lens) the first day.  After ther first day, I had no discomfort in the eye.   I did have to instill an antibiotic eye drop into the eye 4 times daily for 1 week.  Yesterday, the bandage lens was removed and Dr. Price reported that the scar was gone from the cornea and the cornea is healing nicely.  I am still instilling artifical tears every few hours to keep the cornea moist and prevent the eye lid from sticking to and irritating the cornea.

I can not wear contacts in the operated eye for another 2 weeks.  I am planning on returning to see Dr. Price in 2 weeks to be fitted for a new lens.  After the right eye is completely healed Dr. Price will repeat the procedure on the left eye.

I hope this information is helpful.  If anyone has any questions about the procedure or the post-op period, please let me know.

Thanks.

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Senior Member

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Posts: 139
Date: Sat Mar 17 5:04 PM, 2007
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mmm interesting

I basically am looking at my options

I am wondering what I should do

I need a -9 rgp for left unoperated eye. I do not need a graft for that eye [I hope this is not confusing but i will be talking more about this in a post on an update based on a check up with my eye specialist yesterday]

My optician said my cone has scarring but correctable. I am pigybacking in that eye which is working

My questions are  
- Is Superficial Keratectomy to remove scarring suitable for moderate kc or ony mild kc with slight scarring? ie. would it be able to deal with my kc that needs -9 rgp but not needing graft?

-Would cr3 and intacs and superficial keratectomy be a treatment option or even cr3 and superficial keratectomy. I was thinking about intacs whe i couldn't manage my contacts then discovered they are not suitable for scarred corneas and I have some scarring

-Is keraform suitable for Kc ? and kc that has scarring [I obviously need correction for that eye]?

I am debating booking evaluation with clininic in Dublin for Cr3 ...can cr3 be used for moderate kc with some scarring.

My stage of kc is I have some scarring and need -9 rgp but perfectly correctable and do not need graft

Any advice


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Executive

Status: Offline
Posts: 437
Date: Sat Mar 17 7:36 PM, 2007
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Hello Becs,
I never heard about this Superficial Keratectomy. It looks like the aim of the op is to remove the scaring. Well, in this respect, it may work. For scarring is on the corneal surface composed of several layers of epithelial cells. A scar is a permanent defect in the structure of the epithelium. So when the epithelium is removed, the new one strats to grow from the periphery of the cornea. It takes 4-5 days for it grow fully back. I call this prcedure Abrasion of The Epithelium. Why does your doctor call it Superficial Keratectomy, I have a liitle idea. For kera-tectomy is a surgical intervention into the cornea (http://dictionary.reference.com/browse/keratectomy). Well probably Abrasion of Epithelium and Superficial Keratectomy are synonims, for Epithelium is, in fact a part of the cornea;) Have in mind, however, that this may well heal your scars but may not stop your KC...
Wish you all the best!

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yarsky
Anonymous

Date: Tue Feb 14 6:15 PM, 2017
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I am having the procedure done this week. Pretty nervous. Have scarring in both eyes but just doing the left first. Were youable to see better afterwards, because my vision has never been right each time I get glasses they cant get the perscriotion right because of the scarring. Just wonder if this will help to see better.

Thanks



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