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Writer's pictureDr. Niteen Dedhia

What are the treatment options for Keratoconus treatment provided by Ojas eye hospital in Mumbai

About Keratoconus treatment in India done by Dr. Niteen Dedhia

In early stages, when the cornea is still regular, corrective prescription glasses or soft contact lenses can help the patient. As keratoconus advances, the corneal surface becomes increasingly irregular & these options do not help adequately. In the intermediate & advanced stages, various other treatment options & different types of contact lenses are available.

Rigid Gas permeable contact lenses: provide a smooth refractive surface replacing the irregular cone-like surface of the cornea, thus enabling the patient to see clearly. Lens fitting in Keratoconus can be a demanding & time-consuming process. RGP lenses are not as comfortable as soft contact lenses.

Piggybacking Contact Lenses: a soft contact lens is first placed on cornea to give it a cushion like effect & RGP lens is fitted over it. Best features of both lenses are combined – makes the wearer comfortable & at the same time give crisp & clear vision. The fitting should be perfect to ensure good oxygen permeability to the cornea as the patient will be wearing two lenses. However, with newer high oxygen permeable lenses this is not a problem.

Hybrid Contact lenses: uniquely designed wherein the central visual portion is made up of high oxygen permeable rigid material & peripheral anchoring portion is of soft hydrogel material. Maximizes the best features of both lenses & improves the wearer's comfort as well as visual performance in keratoconic eyes.

New Vistas In Surgical Treatment Of Keratoconus: Intacs (Intra Corneal Ring Segments)

Patients with moderate nonprogressive keratoconus who are intolerant to contact lenses are good candidates for INTACS. The use of INTACS not only improves the visual outcome it also reduces the dependency of patients on glasses or contact lenses. INTACS are rings made of inert material that are implanted in the mid periphery of the cornea. These rings significantly flatten the curvature of keratoconic cornea thus improving vision.

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