Keratoconus progression can be halted by corneal collagen cross linking has been established. We thank all our patients who believed and participated in the trials. Now the hot question is which is better- to remove epithelium or to leave it alone.The debate has recently become intense. Various specialists have filed trade marks, patents or invested in a particular technology. Sometimes their opinions seem biased. So where do we turn to if we want to know the true answer?
How about the FDA? They are experts at looking at the data and known for they unbiased opinion. They have the interest of American patients in mind.
They analyzed lot of safety data. Here is what they have approved in USA
Epi off cornea cross linking
So that means so far Epi off is better than epi on or it’s variations like c3R
The epithelium interferes in the seepage of riboflavin i the cornea. It also hinders the uniform transmission of uvA . Therefore it a good idea to remove it
Some may disagree and say FDA process is tedious and hence Epi on is still stuck somewhere. We can than turn to peer reviewed journals. No published study has ever shown that Epi on crosslinking is better than Epi off.
Multiple studies have shown that Epi on Cross linking is the current Gold Stsndard.
So we rest our case
Epi off cross linking is the procedure Keratoconus specialists recommend
Yes what we had been waiting for finally happened. Another arrow in fight against keratoconus . FDA looked at the safety and efficacy of riboflavin activated by uv A radiation in detail. They looked at the data submitted by Avedro. FDA said epithelium removed or epi off is a good option.
This means if you have been waiting to make your cornea stronger the time has arrived. It may also mean your insurance may cover part of the cost. So send your insurance card to our keratoconus center. You may also qualify for no interest 36 monthly payment plan.
Unfortunately they have not approved epi on or c3r and other variants. So invest your money in the technique FDA considers more safe and result oriented.
Come to our Beverley Hills center for keratoconus treatment and get an unbiased opinion.
In this study done in Ibaraki, Japan, keratoconus and cornea researchers wanted to see whether three-dimensional (3D) corneal and anterior segment optical coherence tomography (CAS-OCT) or a rotating Scheimpflug camera combined with a Placido topography system (Scheimpflug camera with topography) was better to study the cornea. They wanted to see how it would be best to detect the signs of early keratoconus disease. Their goal was to asses if normal eyes and forme fruste keratoconus could be separated based on that criteria. They found out that both systems worked equally good. Our own Los Angeles Keratoconus Expert feels an early cornea topography works equally good in the hands of an experienced keratoconus expert.