Keratoconus Treatment In Ghatkopa

1. Keratoconus TreatmentInGhatkopar Keratoconusisavision disorderthatoccurswhenthe normallyround cornea(thefront part ofthe eye) becomesthinandirregular(cone) shaped.Thisabnormalshapepreventsthe lightenteringthe eyefrombeingfocusedcorrectlyontheretinaandcausesdistortionof vision.Itischaracterized bypara-central cornealthinningand ectasiasothatthe cornea takes the shape of a cone. Visual loss occurs primarily from myopia and irregular astigmatism and secondarily from corneal scarring.Keratoconusoften begins at puberty andmostoftenisseeninteenagersor youngadults. Keratoconuscauses distorted vision that cannot be corrected with eyeglasses. Tiny fibers of protein in your eye called collagen help hold your cornea in place. When these fibers get weak,theycan’thold theirshape.Yourcornea getsmore andmorecone-like. Ithappenswhenyou don’thaveenough protectiveantioxidantsinyour cornea. Itscells produce harmfulbyproducts,thesameway acarputsout exhaust.Normally, antioxidants getridofthemand protectthecollagen fibers.Butiflevelsare low,thecollagen weakens andthecorneabulges.

2. Symptoms • Signsandsymptomsofkeratoconusmaychangeasthedisease progresses.Theyinclude: • Blurredordistortedvision • Increasedsensitivityto brightlight and glare,whichcancause problemswithnightdriving • Aneedforfrequentchangesineyeglassprescriptions • Suddenworseningorcloudingofvision • Theswelling occurswhen thestrainofthecornea'sprotrudingcone-likeshape causesatiny cracktodevelop.Theswellingmaylastfor weeksormonthsasthecrackhealsandis graduallyreplacedbyscartissue. • Monocularpolyopia(perceptionofmultiple‘ghost’imagesintheeye). • Streakingandflaringdistortionaroundlightsources. • Markedanisometropia(differenceinvisionoftwoeyes). • Photophobia(increasedsensitivitytolight). • Eyestrain,inordertoreadclearly. • Riskfactors • Heredity.One in10 keratoconussufferershasaclosefamilyrelativewith thedisorder. • Frequenteyerubbing,especiallyaggressive“knuckling”eyerubbing. • Havinga historyofasthma, allergies,Ehlos Danlerssyndrome,Down’ssyndrome Keratoconusiscategorisedclinicallyas: • Latent stage:Latentstagewasrecognisable byplacidodisconly. • Early stage:Earlystagesweresubdivided intotwocategoriesas: • Keratoconusfruste,which entailed 1-to4-degreedeviation ofhorizontalaxisofthe placido disc. • Early ormildkeratoconus,whichentailed 5-to 8-degreedeviation ofhorizontalaxis.

3. Causes • Afamilyhistoryofkeratoconushasbeen establishedinsome cases.Mostresearchers believethatmultiple,complexfactorsarerequiredforthedevelopment • ofkeratoconusincludingbothgeneticandenvironmentalfactors. • With theadventofvideokeratographytoassess familymembers, however, pedigreeshave been analysed.Thesestudiesshowcornealchangesconsistentwithkeratoconusin some familymembers,whichsuggest anautosomaldominantpattern ofinheritance. • Keratoconusmay beassociatedwithwidevarietyofsystemicandocular conditions. • Systemicassociations: • Atopy (ageneticpredispositiontodevelopanallergicreaction):Eye rubbingseenin systemicatopymayplayaroleinthedevelopmentofkeratoconus. • Downsyndrome(Trisomy 21):InDownsyndrome(Trisomy21),frequency ofacute • hydropsishigher,perhapsbecauseofeye rubbingand/orthese patientsaretreated infrequentlywithkeratoplastyandtheirdisease isallowedtoprogressfurther. • Ehlers-Danlossyndrome. • Marfansyndrome. • Ocularassociations: • Retinitispigmentosa. • Retinopathyofprematurity. • Fuchs’ cornealendothelialdystrophy. • Posterior polymorphousdystrophy. • Contributoryfactorssuch as: • Enzymeabnormalities in cornealepithelium:Enzyme abnormalitiessuch asincreased expression oflysosomalenzymes(catalase andcathepsin) and decreasedlevelsof inhibitorsofproteolyticenzymes(tissue inhibitormatrixmetalloproteinases),mayplayarole incornealstromaldegradation. • Differentially expressedcornealepithelium:Differentiallyexpressedcornealepithelium betweenkeratoconusandmyopes(ascontrols)in both geneticexpression and protein expression. • Moleculardefect:Moleculardefectproducingunusualabsence ofwater channelprotein • aquaporin5inkeratoconusascomparedtonormalcornealepithelium.

4. Gelatinolyticactivity:Gelatinolyticactivityinstromahasbeen described,whichmaybe duetodecreasedfunctionofenzymeinhibitors. • Abnormalitiesincorneal collagenand itscross-linking:Abnormalitiesincorneal collagenanditscross-linkingmaybe thecauseofkeratoconus. • Hardcontactlenswear. • Pathophysiology: • Firstisthinning ofthe cornealstromathen fragmentation ofthe Bowmanlayerandthe deposition ofironinthe basalepithelialcells,formingtheFleischerring.Foldsand breaksin theDescemet’smembraneresultinacute hydropsandstriae,which producesvariable amountofdiffusescarring. • Howdiagnosisismade? • Certaintestslike refraction,keratometry,cornealtopography/Computerised videokeratography,ultrasoundpachymetryandslitlampmicroscopyhelp inreachingfinal conclusion. • Computerizedvideokeratography,whichtakespicturesofyourcorneaso amapcan be made ofthesurfacewhile alsomeasuringthethicknessofyour cornea • Severityofkeratoconusdependson shapeofcone: • Nipplecones • Ovalcones • Globuscones • Treatment • Ifyourkeratoconusisprogressing,cornealcollagencross-linkingmightbeindicatedtoslow or stopthe progression.Contactlensescanbeused tocorrectastigmatismandmildnear- sightedness.Improvingyour vision dependsontheseverityofkeratoconus.Mildto moderatekeratoconus canbetreatedwitheyeglassesor contactlenses.

5. Lenses • Hard contact lenses. Hard lenses may feel uncomfortable at first, but many people adjust to wearing them and they can provide excellent vision. This type of lens can be made to fit yourcorneas. • Piggybacklenses.Ifrigidlensesare uncomfortable,yourdoctor mayrecommend "piggybacking"ahardcontactlensontop ofasoftone. • Eyeglasses orsoft contact lenses.Glassesorsoftcontactlensescancorrectblurryor • distorted visioninearlykeratoconus.But people frequentlyneed tochangetheirprescription for eyeglassesor contactsastheshape oftheir corneaschange. • Hybridlenses.Thesecontactlenseshave arigidcenter withasofterringaroundthe • outside forincreasedcomfort.Peoplewhocan't tolerate hardcontactlensesmayprefer hybridlenses. • Sclerallenses.These lensesareusefulforveryirregularshapechangesin yourcorneain • advancedkeratoconus.Insteadofrestingon thecornealiketraditionalcontact lensesdo, sclerallensessiton thewhitepartofthe eye(sclera)andvaultover thecorneawithout touchingit. • SurgicalInterventions • Someformofsurgerymaybecome necessaryifthecorneaprogressesin itsshape- changinguntilitissosteepthatcontactscannot betoleratedatall. • INTACSaredescribed asarc-likeand plastic.Thesepiecesare insertedinto thecenterof thecorneatoflattenit,therebymakingtheeyemorecontactlens-tolerant. • Collagencrosslinking(CXL)withUVAisacomplexsurgerythatinvolvesremoving the • topmostlayerofyourcornea,addingvitamin dropsandthenexposingtheeyeto aspecial UVlampthathelpsthecorneafibersmultiply,strengtheningthe cornea. • Cornealtransplant surgeryisthelastresortformostdoctors.Inthisprocedurecornea • would beremovedand replacedwitha healthy,normal-shaped cornea.Thissurgeryhasa longrecoverytime,ayearor moreinsomecases,for clear vision. • Penetratingkeratoplasty.Ifyouhavecornealscarringor extremethinning,you'lllikely needacornea transplant(keratoplasty).Penetratingkeratoplastyisafull-cornea transplant. • Inthisprocedure, doctorsremove a full-thicknessportionofyourcentralcornea andreplace itwithdonor tissue • Deepanteriorlamellarkeratoplasty(DALK).TheDALK procedurepreservestheinside • lining ofthecornea(endothelium).Thishelpsavoidtherejectionofthiscriticalinsidelining thatcanoccurwith afull-thicknesstransplant. • ImportantReminder:Thisinformationisonlyintended to provide guidance,nota definitive medicaladvice.Please consulteyedoctoraboutyour specificcondition.Onlya trained,

6. experienced board certified eyedoctorcan determine an accuratediagnosisand proper treatment. ToscheduleanappointmentwithourexpertsforKeratoconusTreatmentin Ghatkopar,pleasecallusat+918451045935,+91-8451045934or visitourclinicat Address. TAG : cornea surgery in mumbai, cornea specialist in mumbai, Keratoconus Treatment In Ghatkopar,eyeclinicinghatkopar ForMoreInformation : https://www.mumbaieyecare.com/