If the cornea loses transparency, changes shape or is damaged, vision can become blurred, distorted, reduced and sometimes pain, photophobia and lacrimation appear.
Corneal diseases can be congenital, inflammatory, degenerative, traumatic, or related to corneal shape disorders.
The main forms that can be diagnosed and maintained:
Keratoconus is a gradual thinning and protrusion of the cornea, in which the quality of vision deteriorates and image distortion appears.
Mainly suffer from young patients older than 15 years. This significantly reduces the quality of life if competent care is not provided in a timely manner.
Corneal dystrophies are hereditary or acquired changes in the transparency and structure of the cornea.
Keratitis is an inflammatory disease of the cornea of an infectious or non-infectious nature.
Corneal erosion and damage — damage to the surface of the cornea, accompanied by pain, photophobia and lacrimation.
Corneal epithelial disorder syndromes are conditions in which the surface of the cornea is slowly restored or repeatedly damaged.
Scarring and corneal opacity are the consequences of inflammation, injury, surgery, or chronic eye diseases.
Important: some corneal diseases develop gradually and can take a long time to manifest only with a decrease in visual quality, astigmatism or rapid fatigue of vision. Therefore, it is important not to limit yourself only to the selection of glasses, but also to conduct a complete diagnosis of the cornea.
Mainly suffer from young patients older than 15 years. This significantly reduces the quality of life if competent care is not provided in a timely manner.
Corneal dystrophies are hereditary or acquired changes in the transparency and structure of the cornea.
Keratitis is an inflammatory disease of the cornea of an infectious or non-infectious nature.
Corneal erosion and damage — damage to the surface of the cornea, accompanied by pain, photophobia and lacrimation.
Corneal epithelial disorder syndromes are conditions in which the surface of the cornea is slowly restored or repeatedly damaged.
Scarring and corneal opacity are the consequences of inflammation, injury, surgery, or chronic eye diseases.
Important: some corneal diseases develop gradually and can take a long time to manifest only with a decrease in visual quality, astigmatism or rapid fatigue of vision. Therefore, it is important not to limit yourself only to the selection of glasses, but also to conduct a complete diagnosis of the cornea.
Diagnostics
Objective: to assess the shape, transparency, thickness and condition of the cornea, as well as to identify the disease at an early stage.
Methods and devices:
Slit lamp biomicroscopy-allows you to study in detail the surface of the cornea, its transparency, the presence of inflammation, erosions, scars and other changes.
Corneal keratotopography / tomography is the study of The Shape of the cornea, especially important in the case of suspected keratoconus and before selecting special contact lenses.
Pachymetry is the measurement of the thickness of the cornea.
OCT anterior segment of the eye-allows you to see the layers of the cornea and assess the depth of changes.
Keratometry is the measurement of the curvature of the cornea.
The fluorescein test is used to detect damage to the corneal epithelium with a special dye with a yellow filter.
Evaluating the tear film is important when corneal diseases are combined with dry eyes.
Selection of diagnostic lenses-if necessary, special rigid, scleral or other therapeutic corrective lenses are selected.
Diagnostic time: usually 30-60 minutes, depending on the clinical situation and the need for additional research.
Methods and devices:
Slit lamp biomicroscopy-allows you to study in detail the surface of the cornea, its transparency, the presence of inflammation, erosions, scars and other changes.
Corneal keratotopography / tomography is the study of The Shape of the cornea, especially important in the case of suspected keratoconus and before selecting special contact lenses.
Pachymetry is the measurement of the thickness of the cornea.
OCT anterior segment of the eye-allows you to see the layers of the cornea and assess the depth of changes.
Keratometry is the measurement of the curvature of the cornea.
The fluorescein test is used to detect damage to the corneal epithelium with a special dye with a yellow filter.
Evaluating the tear film is important when corneal diseases are combined with dry eyes.
Selection of diagnostic lenses-if necessary, special rigid, scleral or other therapeutic corrective lenses are selected.
Diagnostic time: usually 30-60 minutes, depending on the clinical situation and the need for additional research.
Treatment
Purpose: to maintain the transparency of the cornea, improve the quality of vision, stop the progression of the disease and choose the most comfortable solution for the patient.
- Medical treatmentMoisturizing and regenerating drops are used for surface damage, dryness and epithelial disorders.
Anti-inflammatory drugs are prescribed for inflammatory diseases of the cornea according to the doctor's instructions.
Antibacterial, antiviral or antifungal drugs are used for infectious keratitis.
Regenerative therapy-helps to restore the surface of the cornea after injury and inflammation. - Optical correctionGlasses-can be used at an early stage or with undetected changes.
Soft contact lenses are not suitable in all cases, the decision is made individually.
Rigid gas-permeable contact lenses-help improve the quality of vision with an irregular surface of the cornea.
Scleral lenses are used for more pronounced changes in The Shape of the cornea, including keratoconus, scarring and combined disorders.
Individual special lenses are selected for visual impairment and complex forms of corneal pathology. - Equipment and specialized maintenance
- Dynamic control of the shape and thickness of the cornea is especially important in keratoconus and other progressive conditions.
- Crosslinking
- Installation (implantation)of special rings in the cornea
- Supportive treatment with drops to protect the cornea
- Anti-inflammatory therapy with drops-for acute and chronic corneal inflammations
- Selection of special contact lenses according to international protocols.
- OKVision® SmartFit™ - scleral lenses
- An ideal solution for patients who are not suitable for other means of optical correction.
- Unlimited design possibilities-individual design of each lens for the patient based on the unique parameters of the cornea
Indications:
- Astigmatism
- Condition after keratotomy, PRK and LASIK
- Intolerance to rigid corneal contact lenses
- Irregular cornea
- Corneal ectasia
- Ceratoconus
- Condition after corneal transplant
- Corneal surface disorders
Features of selection and wearing
Easy and predictable selection
Wearing mode: daytime
Replacement period: 1 time per year
Assessing planting by zone allows you to fully control the selection process.
Wearing mode: daytime
Replacement period: 1 time per year
Assessing planting by zone allows you to fully control the selection process.
Advantages
High oxygen permeability of corneal and limb stem cells
Fully customized selection with control in 3 zones: Central, limbal and marginal
Suitable for a large number of irregular corneas, with severe keratectasis
They are made of highly gas-permeable material Contamac Ltd. (UK), Dk 100 / 125 / 180
Finished lens control, patient training in use and care with follow-up supervision
We are the only ones who deal with this type of lenses in Georgia.
Fully customized selection with control in 3 zones: Central, limbal and marginal
Suitable for a large number of irregular corneas, with severe keratectasis
They are made of highly gas-permeable material Contamac Ltd. (UK), Dk 100 / 125 / 180
Finished lens control, patient training in use and care with follow-up supervision
We are the only ones who deal with this type of lenses in Georgia.
Speaker control
Purpose: monitoring changes in the shape and condition of the cornea, assessing the effectiveness of treatment and timely changing the tactics of patient management.
Inspection frequency:
With an active process or progression — every 1-3 months.
When selecting special lenses-according to an individual schedule, more often at the stage of adaptation.
In stable condition-every 6-12 months.
What is tuned:
Transparency and integrity of the cornea
Thickness and shape of the cornea
Presence of progression
Vision quality and Correction tolerance
Condition of the eye surface and tear film
Inspection frequency:
With an active process or progression — every 1-3 months.
When selecting special lenses-according to an individual schedule, more often at the stage of adaptation.
In stable condition-every 6-12 months.
What is tuned:
Transparency and integrity of the cornea
Thickness and shape of the cornea
Presence of progression
Vision quality and Correction tolerance
Condition of the eye surface and tear film
Results
What gives the correct diagnosis and treatment:
Improve vision quality
Reduction of distortion, blurring and visual discomfort
Choosing a comfortable and effective correction
Slowing or stopping the progression of the disease
Maintaining corneal health and preventing complications
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