{"id":52153,"date":"2018-10-13T10:00:48","date_gmt":"2018-10-13T10:00:48","guid":{"rendered":"http:\/\/www.lombardovision.it\/specialita-cliniche-c\/cheratocono-e-cross-linking-corneale\/"},"modified":"2018-12-08T09:56:29","modified_gmt":"2018-12-08T09:56:29","slug":"keratoconus-and-corneal-cross-linking","status":"publish","type":"dt_portfolio","link":"https:\/\/www.lombardovision.it\/en\/clinical-specialities\/keratoconus-and-corneal-cross-linking\/","title":{"rendered":"Keratoconus and corneal cross-linking"},"content":{"rendered":"

[vc_row content_placement=”top” type=”vc_default” css=”.vc_custom_1539363335408{margin-bottom: 0px !important;padding-bottom: 0px !important;}”][vc_column width=”1\/2″ css=”.vc_custom_1539363351444{padding-bottom: 0px !important;}”][vc_single_image image=”52155″ img_size=”full”][\/vc_column][vc_column width=”1\/2″]

Keratoconus and corneal cross-linking<\/h2><\/div>
<\/span><\/div>
Scegli uno dei massimi esperti per la cura del cheratocono<\/div><\/div>[vc_empty_space height=”20px”][vc_column_text css=”.vc_custom_1544262843033{padding-bottom: 0px !important;}”]Dr. Marco Lombardo and his staff offer professional medical advice, diagnosis and treatment of keratoconus<\/strong>.
\nDr. Marco Lombardo has been working to develop new corneal cross-linking treatments for keratoconus, such as iontophoresis, for years<\/strong>.
\nDr. Marco Lombardo is the founder of Vision Engineering Italy<\/a>, the innovative firm that is developing the first UV-A medical device for personalized keratoconus care.[\/vc_column_text][vc_accordion active_tab=”false” collapsible=”yes” title_size=”h4″ style=”3″][vc_accordion_tab title=”Keratoconus”][vc_column_text]Keratoconus<\/strong> is a degenerative disease of the cornea, which is characterized by progressive tissue thinning and bulging. The clinical onset, usually bilateral, occurs at a young age between 10 and 20 years old<\/strong>. The first symptom is vision blur<\/strong>. Photophobia<\/strong>, glare and eye redness and itchiness may be often present.
\nDiagnosis of keratoconus<\/strong> is performed by full examination of the eye with corneal topography<\/strong> and corneal pachymetry<\/strong>.[\/vc_column_text][vc_row_inner][vc_column_inner][vc_single_image image=”51717″ img_size=”full”][\/vc_column_inner][\/vc_row_inner][vc_column_text]Corneal topography of keratoconus. Areas with warmer colors (red) indicate a greater curvature of the corneal surface and correspond to the “base” of the corneal protrusion cone.<\/em>[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab title=”Keratoconus treatment”][vc_column_text]In the initial stages, the treatment of keratoconus makes use of eyeglasses<\/strong> or contact lenses<\/strong>, which however do not slow down disease progression<\/strong>. In cases of progressive keratoconus, the first treatment choice is corneal cross-linking<\/strong>. The most recent transepithelial iontophoresis-assisted corneal cross-linking technique is showing to improve vision in many cases.The most advanced stages of keratoconus requires for a corneal transplantation<\/strong>.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab title=”Corneal cross-linking”][vc_column_text]A valid therapeutic option for halting the progression of keratoconus<\/strong> is offered by corneal cross-linking<\/strong>. The aim of cross-linking is the stiffening of the cornea. Corneal cross-linking consists in instilling drops of riboflavin<\/strong> (vitamin B2) onto the cornea (with or without intact epithelium) and then irradiating the corneal tissue with a ultraviolet light<\/strong> (UV-A) lamp. Treatment is painless and is performed under topical anesthesia; the time duration is variable depending on the technique used by surgeon.<\/p>\n

The traditional cross-linking technique<\/strong> requires epithelial removal<\/strong> and has a total duration of about one hour. At the end of the intervention a contact lens, which is removed after a few days, is applied to the cornea. Long-term studies demonstrated efficacy and safety of corneal cross-linking<\/strong>; on average, a significant flattening of the cone apex of about 1 or 2 dioptres is found.[\/vc_column_text][\/vc_accordion_tab][vc_accordion_tab title=”Transepithelial corneal cross-linking with iontophoresis”][vc_column_text]The new corneal cross-linking techniques<\/strong> does not require for epithelial removal. Corneal iontophoresis<\/strong> is a drug-delivery method that allows the administration of riboflavin<\/strong> in just five minutes and without removing the epithelium<\/strong>. UV-A irradiation of the cornea takes less than 10 minutes.<\/p>\n

Dr. Marco Lombardo is one of the developers of the corneal cross-linking technique with iontophoresis<\/strong>.[\/vc_column_text][\/vc_accordion_tab][\/vc_accordion][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=”60px”]

<\/span>Frequently asked questions about corneal cross-linking<\/span><\/div><\/div>[vc_empty_space height=”20px”][vc_toggle title=”Who can perform corneal cross-linking?” style=”simple” color=”black” size=”sm” custom_font_container=”tag:h5|text_align:left|color:%23333333″ custom_use_theme_fonts=”yes” use_custom_heading=”true” el_id=”1445240377892-55e27fef-383c” css=”.vc_custom_1542377962772{padding-bottom: 0px !important;}”]Indication for corneal cross-linking is progressive keratoconus.[\/vc_toggle][vc_toggle title=”Is corneal cross-linking dangerous?” style=”simple” color=”black” size=”sm” custom_font_container=”tag:h5|text_align:left|color:%23333333″ custom_use_theme_fonts=”yes” use_custom_heading=”true” css=”.vc_custom_1542377994372{padding-bottom: 0px !important;}”]Corneal cross-linking is a safe treatment if the patient is selected correctly and if the treatment is performed by expert surgeons.[\/vc_toggle][vc_toggle title=”What does happen after corneal cross-linking?” style=”simple” color=”black” size=”sm” custom_font_container=”tag:h5|text_align:left|color:%23333333″ custom_use_theme_fonts=”yes” use_custom_heading=”true” css=”.vc_custom_1542378036212{padding-bottom: 0px !important;}”]In the first days after the operation, it may be usual to have blurred vision and to feel ocular discomfort. These symptoms are especially true after the traditional corneal cross-linking technique.<\/p>\n

It usually takes a few months to establish treatment efficacy. For this reason, patients must comply with therapy and follow-up visits according to the doctor\u2019s schedule[\/vc_toggle][vc_toggle title=”Does corneal cross-linking improve vision?” style=”simple” color=”black” size=”sm” custom_font_container=”tag:h5|text_align:left|color:%23333333″ custom_use_theme_fonts=”yes” use_custom_heading=”true” css=”.vc_custom_1542378066042{padding-bottom: 0px !important;}”]The most important result of cross-linking is stabilization of keratoconus.
\nThe new corneal cross-linking technique with iontophoresis does not reduce vision and in many cases, vision is improved.[\/vc_toggle][vc_toggle title=”Does corneal cross-linking remove eyeglasses?” style=”simple” color=”black” size=”sm” custom_font_container=”tag:h5|text_align:left|color:%23333333″ custom_use_theme_fonts=”yes” use_custom_heading=”true” css=”.vc_custom_1542378131339{margin-bottom: 0px !important;padding-bottom: 0px !important;}”]No, corneal cross-linking surgery is not yet a vision correction surgery. If glasses were used before surgery, they could be worn afterwards.
\nDr. Marco Lombardo and his innovative firm, Vision Engineering Italy<\/a>, are working on improving corneal cross-linking for correcting low-grade myopia and prebyopia.[\/vc_toggle][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"

Choose one of the top experts of keratoconus treatment<\/p>\n","protected":false},"author":3,"featured_media":52155,"comment_status":"closed","ping_status":"closed","template":"","dt_portfolio_category":[281],"dt_portfolio_tags":[],"yoast_head":"\nKeratoconus and corneal cross-linking - Dr. Marco Lombardo<\/title>\n<meta name=\"description\" content=\"Dr. Marco Lombardo has been working for years in the development of new corneal cross-linking treatments for keratoconus.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.lombardovision.it\/en\/clinical-specialities\/keratoconus-and-corneal-cross-linking\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Keratoconus and corneal cross-linking - Dr. Marco Lombardo\" \/>\n<meta property=\"og:description\" content=\"Dr. Marco Lombardo has been working for years in the development of new corneal cross-linking treatments for keratoconus.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.lombardovision.it\/en\/clinical-specialities\/keratoconus-and-corneal-cross-linking\/\" \/>\n<meta property=\"og:site_name\" content=\"Lombardovision\" \/>\n<meta property=\"article:modified_time\" content=\"2018-12-08T09:56:29+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.lombardovision.it\/wp-content\/uploads\/cheratocono-2.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1600\" \/>\n\t<meta property=\"og:image:height\" content=\"1200\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.lombardovision.it\/#website\",\"url\":\"https:\/\/www.lombardovision.it\/\",\"name\":\"Lombardovision\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.lombardovision.it\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/www.lombardovision.it\/en\/clinical-specialities\/keratoconus-and-corneal-cross-linking\/#primaryimage\",\"inLanguage\":\"en-US\",\"url\":\"https:\/\/www.lombardovision.it\/wp-content\/uploads\/cheratocono-2.jpg\",\"contentUrl\":\"https:\/\/www.lombardovision.it\/wp-content\/uploads\/cheratocono-2.jpg\",\"width\":1600,\"height\":1200},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.lombardovision.it\/en\/clinical-specialities\/keratoconus-and-corneal-cross-linking\/#webpage\",\"url\":\"https:\/\/www.lombardovision.it\/en\/clinical-specialities\/keratoconus-and-corneal-cross-linking\/\",\"name\":\"Keratoconus and corneal cross-linking - 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