Keratoconus Treatment, Diagnosis, and Surgery

Welcome to the Harley Street Eye Centre, a renowned institution dedicated to providing cutting-edge treatments for keratoconus.

As a progressive eye disorder characterised by the thinning and bulging of the cornea, keratoconus demands specialised care, and our expert team of ophthalmologists is here to guide you through the journey to improved vision.

SINCE 2019, OUR EYE CLINIC HAS TREATED OVER 4,700 PATIENTS WITH ADVANCED EYE CARE.

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“Everything You Need To Know Before Considering Keratoconus Surgery”

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Does any of this sound like YOU?

You need frequent changes in your prescription eyeglasses or contact lenses?

You're finding it increasingly difficult to achieve clear vision with corrective lenses?

You've got poor night vision or increased sensitivity to glare?

You've got distorted or blurred vision, especially in one eye?

You often see halos or ghosting around lights?

You experience eye strain or eye fatigue, particularly after visual tasks?

Your contact lenses are becoming uncomfortable or even difficult to wear?

You've already tried a lot of non-surgical treatments to help improve your vision but they have all failed?

Mr Marwan Ghabra

Clinical Director

It is important to note that these signs are not definitive indicators of keratoconus or the need for surgery. After a thorough eye examination and the appropriate diagnostic tests, a qualified eye care professional at The Harley Street Eye Centre can determine a proper diagnosis and treatment plan, if required.

What is Keratoconus?

Keratoconus is a progressive condition where the collagen fibres within the cornea that give the cornea its shape and structural integrity are gradually thinned, leading to a change in the shape of the cornea from a dome shape to a cone shape, in addition to thinning the cornea. This change in shape of the cornea leads to visual distortion, and your vision may start to resemble this image of a burning candle. If left untreated, a patient may typically need a corneal transplant operation to restore the visual function of the eye

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Keratoconus Signs and Symptoms

Symptoms and signs usually start around the age of 12-15 years old. If you have been recently diagnosed and you are older than this, it may be the case that you have had keratoconus for a while but it was not diagnosed.

Prior to a diagnosis, patients typically experience the following symptoms:

Vision getting progressively worse year on year with momentary improvements in vision when a new prescription is added to your glasses.

You have changed your glasses at least once a year for the last few years.You see multiple and faded images of the object you are looking at.

Keratoconus can present in both eyes or in one eye at first and the second eye later. While it is considered as a rare disease, with the advent of better awareness and improved imaging of the cornea, keratoconus is not as uncommon as previously thought, and incidence in London and world-wide is rising.

Keratoconus Diagnosis

The Harley Street Eye Centre is a Keratoconus specialist centre with decades of experience in managing patients with Keratoconus in both stopping progression of the condition and also improving vision and quality of life of our patients.

Mr Marwan Ghabra, the Clinical Director heads the Keratoconus service. Mr Ghabra is a Keratoconus specialist, international speaker on the subject and is a co-founder of MAG Optics, a medical device innovation company focusing on novel implants for the vision correction of Keratoconic patients. Furthermore Mr Ghabra is a consultant for Gebauer GmBh in Stuttgart, Germany for the Xenia corneal implant for the restoration of vision and corneal strength in Keratoconic patients.

Treatment of Keratoconus involves 2 main steps.

Step 1: stopping or slowing down of progression of the condition
Step 2: reshaping the cornea to improve and restore functional vision.

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Keratoconus Eye Treatment Options

In order to understand keratoconus treatment, we must think of this type of corneatreatment as 2 distinct processes. Both processes are available at The Harley Street Eye Centre.

The first is to stop progression of the disease through corneal collagen cross linking.

Secondly, reshaping the cornea is paramount to improving your vision.

The treatments we have available are:

Custom contact lenses
Corneal Cross Linking
Intra-corneal reshaping implants: Corneal ring implant, intacs surgery
Xenia Corneal Implants
Topography guided laser surface ablation
Combined therapy: Corneal Collagen Cross Linking + laser surface ablation or corneal rings

From new onset Keratoconus to advanced keratoconus our team of keratoconus specialists are able to make this process less daunting through our established & comprehensive keratoconus clinic.

* Financing Options Available

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“Everything You Need To Know Before Considering Keratoconus Surgery”

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Corneal Cross-Linking (CXL)

Corneal cross-linking is a minimally invasive procedure aimed at strengthening the cornea and halting the progression of keratoconus. During the procedure, a photosensitizing agent is applied to the cornea, which is then activated with ultraviolet light. This process promotes the formation of new collagen cross-links, improving the cornea's stability.

Topo-Guided Laser Eye Surgery

For patients with keratoconus, conventional laser eye surgery may not be suitable. However, at The Harley Street Eye Centre, we offer topo-guided laser eye surgery specifically tailored to the irregular corneal shape of keratoconic eyes. This advanced procedure utilizes detailed corneal mapping to guide the laser and correct vision.

Xenia Corneal Implants

Xenia corneal implants are collagen-based inserts designed to address corneal thinning and enhance corneal strength. These implants are placed within the cornea in a surgical setting, helping to restore corneal integrity and improve vision for keratoconus patients.

ICL Lens Implant Surgery

In cases where laser eye surgery is not suitable, such as when the cornea is too thin, we offer ICL lens implant surgery. These implantable lenses, similar to those used in cataract surgery, can be a viable option for vision correction in keratoconic patients.

Combined Treatments

Depending on the specific needs of each patient, we may recommend combining treatments such as topo-guided laser eye surgery and corneal cross-linking. This approach aims to achieve optimal results by addressing multiple aspects of the condition and improving both corneal integrity and visual acuity.

Specialist Contact Lenses

Our team of specialist optometrists has extensive experience in fitting rigid gas permeable (RGP) and scleral contact lenses for keratoconus patients. These custom-designed lenses provide a precise fit and can significantly improve vision and comfort.

Just 8 Reasons To Choose The Harley Street Eye Centre

Expertise and Experience: - The Harley Street Eye Centre boasts a team of highly skilled and experienced eye specialists who are renowned in their respective fields. They have the knowledge and expertise to provide top-quality eye care and treatment.

State-of-the-Art Facilities: - The clinic is equipped with advanced and cutting-edge technology, ensuring that patients receive the most accurate diagnoses and effective treatments available in the field of ophthalmology.

Comprehensive Eye Care - The Harley Street Eye Centre offers a wide range of eye care services, including routine eye exams, refractive surgery (such as LASIK), cataract surgery, corneal transplants, glaucoma treatment, and more. Patients can receive comprehensive eye care under one roof.

Personalised Treatment Plans - Each patient is unique, and at The Harley Street Eye Centre, the treatment plans are tailored to meet individual needs. The doctors take the time to understand the specific concerns of each patient and develop personalised treatment strategies accordingly.

Strong Reputation - The Harley Street Eye Centre has built a strong reputation over the years due to its commitment to excellence. The clinic has a track record of successful treatments and satisfied patients, which is reflected in positive reviews and testimonials.

Commitment to Excellence - The Harley Street Eye Centre has built a strong reputation over the years due to its commitment to excellence. The clinic has a track record of successful treatments and satisfied patients, which is reflected in positive reviews and testimonials.

Collaborative Approach - The Harley Street Eye Centre is dedicated to providing the highest standard of eye care and treatment. They prioritise patient safety, satisfaction, and long-term visual health, making them a trusted choice for individuals seeking the best eye clinic for their needs.

Continuing Education and Research - The team at The Harley Street Eye Centre remains at the forefront of advancements in ophthalmology through continuous education and involvement in research. This commitment to staying updated with the latest developments ensures that patients receive the best available treatments.

Common Questions About Keratoconus Surgery & Treatments

What is keratoconus?

Keratoconus is a progressive eye condition characterized by the thinning and bulging of the cornea, resulting in a cone-shaped deformity. It can cause distorted vision, increased sensitivity to light, and difficulty wearing contact lenses.

How is keratoconus diagnosed?

Keratoconus is diagnosed through a comprehensive eye examination. The diagnostic process typically includes a detailed patient history, visual acuity tests, corneal topography, and a slit-lamp examination. In some cases, additional tests such as corneal pachymetry or corneal tomography may be performed.

What are the treatment options for keratoconus?

The treatment of keratoconus depends on the severity of the condition and the patient's individual needs. Mild to moderate cases can often be managed with prescription eyeglasses or contact lenses. In more advanced stages, other options may include corneal cross-linking, intracorneal ring segments (intacs), or in severe cases, corneal transplantation.

What is corneal cross-linking?

Corneal cross-linking is a minimally invasive procedure that aims to strengthen the cornea and halt the progression of keratoconus. It involves applying riboflavin eye drops to the cornea, followed by exposure to ultraviolet light. This process creates new cross-links within the corneal tissue, increasing its stability.

Are there any risks or side effects associated with corneal cross-linking?

Corneal cross-linking is generally safe, but as with any surgical procedure, there are potential risks and side effects. These can include temporary discomfort, light sensitivity, dry eyes, and temporary haziness of vision. Your eye care professional will discuss these risks with you in detail before the procedure.

Can keratoconus be treated with laser eye surgery (LASIK or PRK)?

In most cases, laser eye surgery is not recommended for individuals with keratoconus. The corneal irregularities associated with this condition can make the outcomes unpredictable and potentially worsen the vision. However, in some instances, after stabilizing the keratoconus, a subsequent laser procedure may be performed to correct any residual refractive error.

How long does the recovery process take after corneal cross-linking or other surgical interventions?

The recovery period varies depending on the specific procedure and the individual patient. After corneal cross-linking, patients may experience temporary discomfort and light sensitivity for a few days to a week. Visual recovery may take several weeks or months. Following other surgical interventions, such as corneal transplantation, the recovery period can range from several weeks to several months.

Are there alternative treatments or experimental therapies available for keratoconus?

Research into alternative treatments and therapies for keratoconus is ongoing, but as of now, there are no widely accepted alternative treatments that have demonstrated consistent efficacy. It is important to consult with a qualified eye care professional who can provide guidance based on the latest scientific evidence.

How effective are the treatment options for keratoconus?

The effectiveness of treatment options for keratoconus varies depending on the severity of the condition , the chosen treatment modality, and individual patient factors. Early intervention and stabilization of keratoconus can often prevent or slow down disease progression, improving the overall visual outcomes and quality of life for patients.

Please note that these FAQs are for informational purposes only and should not replace professional medical advice. It is essential to consult with a qualified eye care professional to receive an accurate diagnosis and appropriate treatment recommendations for your specific condition.

Download Your FREE Keratoconus Information Pack:

“Everything You Need To Know Before Considering Keratoconus Surgery”

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About Harley Street Eye Centre

Located in the heart of Harley Street in London, The Harley Street Eye Centre continues the decades-old association of eye care with 22a Harley Street. This brand new state of the art clinic offers full and comprehensive ophthalmic treatment and imaging. Medical Lead Mr. Marwan Ghabra and his team of leading ophthalmic surgeons and dedicated professionals are committed to providing world-class eye care.

The Harley Street Eye Centre provides the right eye treatment at the right time. Your eyes are precious, and you should take great care of them.

Centre for Complicated Cases

The Harley Street Eye Centre, in addition to providing high-quality eye care locally

in the UK, is quickly becoming well known internationally as a go-to centre for complicated cases needing out of the box thinking with a strong base in currently accepted ophthalmic practice.

When it comes to a routine eye test, a problem with squinting, double vision, loss of vision, a sore eye or unbearable eye pain or complex serious trauma to the eye, our team of experts are best suited to advise, examine and treat your eyes to bring you, improved eye health and peace of mind.

Located in The Heart of Harley Street London, UK

Here at The Harley Street Eye Centre, we have the knowledge and expertise to treat your eyes.

Questions you might be asking asking: where is there an eye specialist near me? Which eye clinic offers the best vision care in London? We're right here.

Located in the heart of Harley Street, near Marylebone in London we have undoubtedly the best solutions backed up by our team of medical experts. A consultation with one of our eye doctors will be your first step towards achieving the best possible outcome for your eyes.

We are not just a clinic, but a technologically advanced eye care facility filled with experts who collectively have decades of experience. A leading Eye Care provider in Harley Street, London, our experienced team of ophthalmologists, opticians and experts will find the best possible solutions all in one place.

The Harley Street Eye Centre continues the decades-old association of eye care with 22a Harley Street. Our brand new state of the art clinic offers full and comprehensive ophthalmic treatment and imaging using the latest technology.

Medical Lead Mr. Marwan Ghabra and his team of leading ophthalmic surgeons and dedicated professionals are committed to providing world-class eye care.

What We Treat

The Harley Street Eye Centre offers a comprehensive range of eye care services, catering to various eye health needs. From routine eye exams to advanced procedures such as refractive surgery (e.g., LASIK), cataract surgery, corneal transplants, and glaucoma treatment.

Corneal Treatment and Surgery

Keratoconus

Cataract Surgery

Lasik Laser Eye Surgery

Pediatric Eye Treatments and Surgery

TransPRK Laser Eye Surgery

Cosmetic Eye Surgery

Dry Eye Treatments

Retinal Surgery and Treatments

Glaucoma Eye Surgery and Treatments

From Consultation to Treatment

What To Expect At Your First Visit With Us

We're excited to see you at your appointment! We want to make sure you feel comfortable and well-informed, so don't hesitate to ask us any questions about our treatments, our office, or even our payment options. Our goal is to help you get back to living your life free of visual impairment, so let's work together to make that happen!

Discuss your eye health goals
Full eye examination
Vision check and treatment eligibility
Diagnostic scans if required
Start a custom treatment plan

"Highly recommend The Harley Street Eye Centre. The team are professional, experienced and educated."

- Subé W

The reviews showcased are authentic feedback from patients who have received treatment at The Harley Street Eye Centre. While individual outcomes may differ, these reviews do not claim to reflect the results of all patients.