All of us Vs Keratoconus


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Post Info TOPIC: Microsurgery FAQ


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Date: Sun Mar 14 11:54 AM, 2010
Microsurgery FAQ
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I am collecting questions for a microsurgery FAQ. Please post your questions here or send them to my email. Thanks for your help.

Peter
drgoren@hotmail.com

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Date: Thu Jul 22 6:31 AM, 2010
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What different options are available and what stages of keratoconus are they applicable to? 
Mini-ark? ark? rk? prk? artsybashev? etc. Can you do mini-ark on stage iv kc? stage i?



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Date: Mon Jul 26 9:57 PM, 2010
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What type of microsurgery is the best recommended for treatment of long term postkeratoplasty development of irregular astigmatism ,what are the experiences and to what extent it would be successful?

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Date: Wed Jul 28 8:12 PM, 2010
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Hi, Microsurergy is very interesting however, I got concerns about the rather long time you are advised not to do "hardcore" exercising. Can it take up to 2 years to fully heal? Do we know about limitation in for example flying, different pressures etc. 

Another question, do we know about nutritions that help/speed up the healing?

Third question, how soon can a RGP lens be used if it must be used on a cornea that have had microsurgery? I mean if it is not recommended to do heavy exercise, I could guess a RGP lens on the cornea would introduce a similiar or worse stress?


Br Henrik


-- Edited by Zenke on Wednesday 28th of July 2010 07:18:37 PM

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Date: Sun Aug 15 9:41 PM, 2010
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Thanks for all of the questions.

Dr. Artsybashev does not recommend "hardcore" exercising for keratoconus patients in general whether or not they undergo surgery. The fluctations in blood pressure, eye pressure, extreme physical stress, injuries while wearing contact lenses, etc., may provoke keratoconus progression. For this reason, he recommends lighter sports after surgey on an individual basis depending on the stage of the disease and how the recovery and healing is progressing. The main goal is to keep the new form of the cornea after the surgery and achieve the best vision possible while preventing the need for a corneal transplant. Therefore, any activites that may affect the healing process are not recommended.

There is a special diet recommended to patients after surgery. There is no example where a patient was required to wear RGP lenses after the operation, but if someone insists on wearing RGP's instead of glasses or soft lenses the minimum time required is six months after surgery.

Dr. Artsybashev also has a different technique for operating on post-keratoplasty and other surgery/injury induced astigmatism up to 12 diopters.


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Date: Mon Aug 16 6:49 AM, 2010
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What counts as hardcore? Boxing? jogging? water/snow skiing? A walk in the country?
airplane aerobatics? Same list as a cornea transplant?

Certainly for the first few months anything that raises your pulse is out. I don't do contact sports at all, but I'm ertainly interested in skiing/snowboarding, biking, etc.

Prior to topo-prk/cxl surgery It's recommended that you buy omega-3 fish oil, flax seed oil and vitamin-C. Any harm in starting that now? Any benefit?



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Date: Tue Aug 17 8:34 PM, 2010
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HI, I started with some Omega-3 for the eyes, "some right combination of animal and vegetabilic fatty acids" it gave me some more tears actually. But hehe even walking some stairs can raise the pulse? I do some weightlifting, after CXL the doctors asked me to take it easy for some weeks atleast. But waiting for months is a bit boring ;(

Br Henrik






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Date: Tue Aug 17 10:04 PM, 2010
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I'm perfectly fine with waiting for months. What I'm not okay with is being told I can never bike, or swim, go skiing or do light airplane aerobatics again.

I would like a doctors note to get me out of boxing though. smile.gif

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