Live Your Life to its Fullest

465 N. Roxbury Dr. Suite 902, Beverly Hills, CA. 90210
Phone: 310.594.5209

Beverly Hills Keratoconus, LASIK, ICL, Cataract Specialist
Procedures How to find us? Patient Stories Media Stories Olympics Is It Safe? Meet Dr.Brian Blog Charity

Posts Tagged ‘Keratoconus Treatment’

Finding Hope with Keratoconus

Tuesday, October 28th, 2008

For years researchers and Doctors have been looking for effective ways to treat patients with keratoconus. In the past the options were very slim with little hope for reversals or healing the corneas. Often patients had to receive corneal transplants to get relief from diseases like Keratoconus. However now they are finding new and less invasive ways to correct the progression of keratoconus.

Keratoconus is caused by free radicals which invade the eye and create a reactive species which break down and cause weakness. The weakness causes the cornea to herniate causing keratoconus. The progression is not over night but over years and the effects of keratoconus can be debilitating for the patient leading to blindness. In the beginning of the disease there are little symptoms and patients often overlook a problem. The condition often strikes one eye first later spreading to the second eye by the time a problem is detected.

Now there is a treatment called C3-R® which can strengthen the cornea in the places that are weakened and give the reverse effect of the damage done by keratoconus. The treatment is relatively easy with only 30 minutes to apply and the cornea is strengthened over the next 2-4 months. Many patients only need one application, while more severe cases may require two.

The use of C3-R® or Corneal Collagen Crosslinking with Riboflavin has been very effective in recent years and can give tremendous improvement to the patients vision. In addition to C3-R® the doctor can use Intacs, and/or CK to additionally improve the sight of the patient.

A few symptoms of Keratoconus are:

Itchy eyes

Excessive Rubbing

visual disturbances

visual discomfort

glare halo

squinting

seeing double

For more information on Keratoconus and its treatments visit: www.keratoconusinserts.com

How Would You Like to be Free of Your Reading Glasses or Bifocals

Friday, October 24th, 2008

The problem active women and men over 50 have is that their biological lens is no longer properly function commented Brian S. Boxer Wachler, MD, an expert ophthalmologist in Los Angeles who was voted one of the world’s top vision correction specialists.“That’s the reason you’ve developed the frustrating need for readers/bifocals,” he continued.

It wasn’t always this way.  Think how things were 10 or 20 years ago.  Remember how good life was back than for your eyes? Readers/bifocals are now required to make up for the imperfections that have occurred in your biological lens.

Your biological lens is also the reason your glasses prescription keeps getting stronger and stronger over the years. Aging isn’t fair, that’s for sure.  But you can finally do something about your aging eyes and take control.

Natural Lens Replacement

Turns the Clock Back

It’s empowering and life-changing for people who have Natural Lens Replacement. They genuinely feel young again since their reading vision is so improved. Best of all: they can see without readers and bifocals.

Natural Lens Replacement is the process of adding an internal lens implant to the eye designed to correct near vision (and distance vision too if that is needs to be fixed as well). It can restore your natural vision like you used to have…when you didn’t need those glasses. Natural Lens Replacement is like ‘plastic surgery’ for your reading vision.

Karen Colbert had the procedure with Dr. Boxer Wachler last year. “My vision is unbelievably perfect! I didn’t have to wear glasses for the first time in 20 years. I could read everything, even the tiniest of print of the smallest of little medicine bottles. It’s been an amazing, wonderful change in my life.”

I traveled over 150 miles from Palm Springs to see Dr. Brian Boxer Wachler. I came to him because of his reputation and because he is ahead of the curve,” said Neil Rouzier, MD who had the procedure with him. “I had seen other ophthalmologists as a courtesy to them since I knew them, but it was only Brian who knew about the new type of lens implants. One day after the procedure I was already seeing 20/20,” Dr. Rouzier also commented, “You’ll never find a doctor as nice and friendly as he is.”

 

Would You Drive with a Warped Windshield?

If you were driving with a warped windshield, you would fix it. If you have excess fat, you have “lipo”. If you have bags under your eyes, you have a “bleph”. If you want a better chest, you have a “breast aug.” Since people now know there is a solution for their imperfect biological lens, they are having “Natural Lens Replacement.”

Natural Lens Replacement is a bit like Breast Augmentation in that implants are used to correct the biological deficiencies of the body. When you don’t need to pull out your glasses to read, you look younger. PLUS you have a significant life improvement when you are freed from “being chained” to reading glasses or bifocals. It’s like turning the clock back on your eyes. Imagine how your live would be if you had Natural Lens Replacement done 5 years ago?

It’s the first time I haven’t had glasses on it 50 years!” relayed a very happy Lois Van Atta. “It was painless. Dr. Boxer Wachler is the best. There is no one else who I’d trust my eyes to. I’ve enjoyed every minute of it,” Lois concluded.

 

It’s Not Too Late

You can still enjoy the freedom in vision for many, many years to come. An added benefit is it will prevent cataracts from developing in the future.

A version of Len Augmentation can be used to cure patients with cataracts, even early cataracts. No more are the days of waiting until the cataracts get so bad that it makes driving and other activities difficult (the way your parents’ generation had to wait).

Because the lens technology is so advanced, people are proactive now and routinely fix early cataracts with Natural Lens Replacement. This will guarantee those cataracts never occur again.

Dr. Boxer Wachler recently performed the procedure on his own father, Stanley Wachler, who remarked, “I can read without my bifocals! I feel like I’m 30 years old again!”

 

Fixes Your Reading Vision in about 10 Minutes

Natural Lens Replacement is quick and easy. It only takes about 10 minutes or so.  Dr. Boxer Wachler uses numbing drops so there’s no pain.  “You’ll never feel the lens implants in the same way you don’t feel a dental filling for a cavity - it’s there, but you’ll never know it’s there,” according to Dr. Boxer Wachler.

There’s no maintenance needed at all. You can resume 100% of your normal activities afterwards - even swimming, tennis, or sky diving if that’s what you’re in to. You’ll probably find yourself wanting to do more activities afterwards. Best of all, the lens implant will never wear out nor degrade. It will outlast you. So these implants are “built to last” and they do.

Sam Farooqi also had the procedure with Dr. Boxer Wachler. “Right after the procedure, my whole world was illuminated.” “I just went for it. I’m ecstatic and so pleased,” Davida Richardson commented.

 

Free Report

Please call 310-594-5209 to request a free copy of the “Natural Lens Replacement Report” to learn more about this life-changing opportunity to get your reading vision back and fees for it. The Report is free if you call in the next 1 days, please call now.

 

About the Natural Lens Replacement Expert

Since studying at Dartmouth, Edinburgh University and UCLA, Dr. Boxer Wachler was recruited by UCLA to be one of the youngest directors in their history where he ran the Laser Refractive Center at Jules Stein. He later moved to Beverly Hills and founded the Boxer Wachler Vision Institute.

He has received the career Achievement Award from the American Academy of Ophthalmology, founded the non-profit Giving Vision organization dedicated to providing eye care to children, as well as lecturing on vision correction procedures to eye surgeons all over the globe and giving expert advice on all the major news networks.

Do a Google search on his last name Boxer Wachler to learn more about him.

P.S. “How did you get your last name “Boxer Wachler?” is a common question. When he married his wife Selina Boxer 15 years ago, he changed his last name from Wachler to Boxer Wachler also making him one of the only men with a maiden name!

P.P.S. In the next 7 days, please call 310-594-5209 to request a free copy of the “Natural Lens Replacement Report” to learn how to get your reading vision back. For more information on fixing your reading vision and other conditions visit: http://www.boxerwachler.com/lasikspecialist/lasikprocedures/restor.html 

Article Written by:  Annette Phol

Optimizing Vision for Keratoconus Patients: The Visian ICL

Thursday, October 9th, 2008

Visian ICL is a remarkable transparent contact lens that is placed behind the eyes iris. The transparent ICL can not be seen by you or anyone else and takes only a mere 9 minutes to implant. The Visian ICL was made by Staar Company and is a bio-compatible lens. It is durable and doesn’t break down over time as other products may.

The Visian ICL is used to correct vision in patients with keratoconus, once their vision has been stabilized. The Visian ICL is used after other Keratoconus treatment options are used such as Intacs and C3-R® as a “Part 2” to vision correction. There are some eligibilities of the Visian ICL procedure. Below is a short list to get you started:

Good Candidates should:

Should be at least 21 years of age.

Stabilized Keratoconus Progression for at least 6 months.

Not pregnant

No known allergies to medication for procedure

Have glaucoma

Have Macular degeneration

The Visian ICL gives options to remove them when your prescription needs to be changed without irritation or disturbances in vision. The Visian ICL has been used for over the last 14 years in Europe and has gained popularity in the United States within the past 2 years. It shows great improvement in the eyes of their patients. The Visian ICL gives great options for those suffering with Myopia up to 20 diopters. Depending on the surgical technique used up to 4 diopters of astigmatism can be corrected with the current lens. A new lens should be approved shortly that would allow up to 6-8 diopters of astigmatism corrected.

The Staar Surgical Company is a proven surgical eye correction technology leader and to be a cut above the rest. Providing us with very dependable and advanced technologies for vision correction in the past and present. The Staar Surgical Company provides many advanced technological instruments and has been since 1982.

Over all the advances that the Visian ICL is providing for patients with Myopia is great. Surgeons around the nation are using these techniques to improve the vision of many of their patients. If you are interested in learning more about the Visian ICL procedure for myopia visit us at: www.ICLinformation.com. To learn more about the Visian ICL for Keratoconus patients visit us at: www.keratoconusinserts.com

Keratoconus patients no longer need to despair, find hope: www.keratoconusinserts.com

True Testimonials: Anxiety Free Vision Correction~ Meeting Dorothy McDonald

Wednesday, September 24th, 2008

Many of us deal with anxiety when it comes to our eyes. The patients at Boxer Wachler Vision Institute are no exception. The key is all in how they are treated. There is a big difference in with treatment of patients at Boxer Wachler Vision Institute and other vision centers.

Meet Dorothy McDonald a registered nurse who has had to use reading glasses for the better part of her life. She is an avid reader of her local newspaper as stated she was tired of reading it with her glasses and was ready for a change.

Deciding to get vision corrective surgery is not a decision to take lightly. However she decided it was time. Dorothy decided to have CK followed by C3-R in both eyes despite her concerns and anxiety. She shares that she enjoyed the presence of staff in the room with her and listening to their voices.

She had an “Anxiety Free” experience with the CK. However during her C3-R procedures Dorothy did experience some anxiety and the staff aided her by holding her hand, talking her through the procedure and with some medication to help her through.

Dorothy stated in an interview 24 hours after the procedure-

Quote:

“I woke up this morning to read the newspaper for the first time in 5 years without my glasses.”

While her procedures went well Dorothy tells anyone who is tired of wearing glasses to read to try the procedure. She says it is painless and a wonderful decision! For many of us we fight with the decision to have procedures done; especially if they are new. However the Boxer Wachler Vision Institute offers a caring and expert staff that go above and beyond to meet your needs-Just ask Dorothy!

Reversing Keratoconus: The Wonders of INTACS and C3-R

Monday, September 22nd, 2008

Intacs provide a safe and non-invasive treatment for Keratoconus. While many keratoconus patients suffer with the need for RGP or Rigid Gas Permeable Lens they are often uncomfortable and have to be changed regularly. The use of Intacs provided the patient with a option they won’t feel and gives them the option of using soft lenses. For most patients with Keratoconus this is a great relief to the options they are using now. The Intacs are not irritating and they require no additional maintenance.

Intacs are tiny segments that are placed under the patients cornea. The procedure only takes around 10 minutes and provides almost immediate improvement. Glasses or soft contact lens are likely required after the procedure but there is a great improvement in the patients vision. For patients with mild keratoconus the results can give them improvement without use of corrective lens, or contacts after the procedure. The first Intacs reported world wide was by Dr. Joseph Colin MD. From France in 1999.

Keratoconus is a disturbing condition that continues progression of vision loss in the patients who suffer with it. For many years doctors have been trying to improve the vision of those suffering from Keratoconus. Recently Dr. Boxer Wachler has used the option of Intacs with C3-R® to improve the vision of his patients.

The C3-R® gives added strength to the cornea stopping the progression of Keratoconus and reversing the effects. While the Intacs improve the vision that has already been damaged. This method has been proven effective and safe for many patients. The long term effects show great improvement and add to the options of those suffering from Keratoconus and Keratoectasia. C3-R® or Corneal Collagen Crosslinking with Riboflavin is the application of a treatment called Riboflavin to the cornea. The medicine penetrates the cornea and strengthens the collagen fibers inside the cornea. The treatment takes about 30 minutes and is usually preformed after the Intac procedure to give better results.

Below are some signs of Keratoconus:

Multiple images-”Seeing Double”

Excessive eye rubbing

Sensitivity to Light

Seeing halos

Claims of “itchy eyes”

Keratoconus is common in ages 16-25 and develops in both eyes however it occurs in one eye first. The diagnosis of keratoconus is usually after both eyes are effected because it is not usually found until than.

Keratoectasia is a diagnosis of Keratoconus after Lasik surgery. Many times patients are improperly evaluated before Lasik and develop Keratoectasia after the procedure. For more information on Keratoconus causes, signs and treatment options visit: www.keratoconusinserts.com

C3-R® & Keratoconus: Preserving Your Vision

Friday, September 19th, 2008

Keratoconus is a disturbing disease that can hinder the lives of the sufferers greatly. For many years doctors have struggled to find the cause and prevention of vision loss in patients with keratoconus. Within the last decade advancements in vision correction have found an efficient treatment for the progression of vision loss in Keratoconus and Keratoectasia patients.

C3-R® or Collagen Crosslinking with Riboflavin has been proven to not only stabilize the vision loss in patients with keratoconus and Keratoectasia but essentially stop it. There have been many studies like: Stress-Strain Measurement, Thermal studies, and Enzyme Digestion studies had been performed with astonishing results. Human studies showed an increase in strength of corneas after treatment of 328.9 % and in pigs of 71.9%.

In 2003 Dr. Boxer Wachler performed the first C3-R® procedure in North America. To date 99% of patients have stabilized after only a single treatment. A few patients with severe Keratoconus and Keratoectasia have needed a second treatment before getting all the benefits.

C3-R® or Corneal Collagen Crosslinking with Riboflavin is a simple procedure done in the convenience of the office and takes about 30 minutes. A numbing solution is placed in the eye which contains the Riboflavin and a solution called Tetracaine. With the aid of the Tetracaine the Riboflavin can penetrate the cornea without removal of the Epithelium called the “Epi-on” procedure. The Epi-on procedure does not give the patient any pain during or after the procedure. Then an Ultra Violet Light is placed over the eye for 30 minutes to activate the Riboflavin.

There is some gritty feelings or Mild foreign body sensations, and haziness during the day of the procedure which clears up the next morning. The procedure in non-invasive and stops the progression of keratoconus effectively saving the vision of the patient.

Below are a few additional conditions and procedure that have shown benefits from C3-R®:

 

Combined with PRK to increase stability of vision

Stabilizes eye after RK

To find out more about Corneal Collagen Crosslinking with Riboflavin or C3-R® visit http://www.keratoconusinserts.com

Treating Keratoconus After Lasik

Thursday, September 18th, 2008

When deciding to have Lasik surgery one must undergo a thorough evaluation to determine if you are a good candidate. There are some complications associated with Lasik surgery that can be avoided by careful testing prior to Lasik such as corneal mapping or Topography.

Keratoconus after Lasik known as Laser in situ Keratomileusis is a condition known as Keratoectasia. The occurrence of Keratoectasia after Lasik is .04-.6%. In 2004 over 50% of doctors reported at least one patient with this condition. Most instances occur in patients with Myopic Lasik or Lasik for nearsightedness.

Some risk factors before Lasik are:

Thin cornea

Young age with high prescription

Amount of myopia that is treated

Depth of treatment

Pre-operative inferior steepening on mapping

One of the biggest signs of risk to Keratoectasia after Lasik are patients with inferior steepening on the topography. Keratoectasia can also show up in patients with no risk factor and careful observation after Lasik is extremely important. All patients should have proper Corneal mapping & Evaluation before Lasik surgery or PK (photo-refractive Keratectomy).

PRK or Lasik permanently changes the shape of the anterior central cornea. The procedure is done with an excimer. Mostly preformed on myopic patients and it is said that 80% of the population are eligible for the procedure.

Some requirements are:

Normal Ocular Health

Age- 20 years plus

Optimal parameters are 1.5– 7.00 diopters of myopia

Pupil size of 6mm

Stable refraction error ( no change in the last year)

Corneal thickness greater than 450 microns.

Remember to get a thorough evaluation before any vision correction treatment this is important and be sure you understand all possible complications and a reasonable expectation of results.

Mapping Your Eyes: Topography & Keratoconus

Wednesday, September 17th, 2008

One of the best ways to evaluate the cornea is through the use of Corneal Topography. There are various signs in the mapping that show the doctors signs of keratoconus and other progressive eye conditions. The topography can show irregular and steepening of the shape of the cornea. The normal cornea also has a 90 degree axes perpendicular in the cornea. In the normal cornea during corneal topographies there is a smooth and flat surface.

If the topography shows irregularities or steepening this is a sign that there are problems. Any irregularities in the cornea such as steepening and/or irregular shaping of the axies show signs of irregular astigmatisms. Raising questions for diagnosis of Keratoconus. When doctors check for Keratoconus in the Lasik evaluation they look for “ Inferior Steepening.” Corneal Astigmatism appears in the shape of a football compared to a normal cornea that is round and smooth.

Additionally Keratoconus is confused with Pellucid Marginal Degeneration or PMD. PMD was first discovered by an Ophthalmologist in 1957 named Dr. Schalaeppi. Pellucid Marginal Degeneration is a break down of the cornea creating a lobster claw pattern. PMD is also known as the peripheral form of keratoconus. While the disease is in the same family and similar there are some differentiating factors. When viewing in a corneal topography the PMD appears as a steepening from the outer margin of the cornea heading inwards and appearing to pinch the center.

Signs of Pellucid Marginal Degeneration:

No pain reported [compared to keratoconus]

Visual distortions

No vascularization of cornea

No scarring

Lobster Claw formation
In the end the best form of testing for Keratoconus is to have a baseline corneal topography, and regular testing annually. The treatments of keratoconus are advancing and progression of this disease can be treated successfully. Catching the condition early can give you a better result. Checking with your ophthalmologist and getting regular checkups is a must.