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Corneal Collagen Crosslinking

The procedure of choice to stabilise keratoconus and other corneal ectasias (conditions where the corneal shape becomes unstable).

Summary

The cornea is the clear front window of the eye, and a normal shaped cornea is vital for clear eyesight. In Keratoconus and similar corneal conditions, the cornea becomes thinned and distorted, affecting clarity of vision, and getting progressively worse over time. Collagen cross linkage stabilises the cornea and prevents further deterioration, using a combination of the vitamin Riboflavin and ultraviolet light. In some cases it can produce a modest improvement in vision, although stabilisation is the aim. By performing collagen cross linkage, we hope to be able to prevent future deterioration of eyesight, and avoid the need for major surgery such as corneal transplantation. Collagen cross linkage can also be used to “lock in” visual improvement from certain other corneal procedures such as excimer laser and corneal implant insertion.

The Process

One eye is treated at a time. The procedure is done in the operating theatre, under local anaesthetic (drops into the eye).

Some of the skin is gently removed from the surface of the cornea, and the cornea is then soaked in Riboflavin (vitamin B2) solution, a natural vitamin which is essential for corneal strength, for 10 minutes.

A controlled dose of ultraviolet light is then shone onto the cornea for 10 minutes.

At the end of the treatment, drops and a soft contact lens (bandage lens) are applied, and pain-relieving tablets are given.

Why MY Eye Clinic?

My Eye Clinic is conveniently located in Gosforth with easy parking and relaxed comfortable waiting areas with refreshments.

My Eye Clinic has a highly-experienced consultant corneal & anterior segment surgeon to provide expert assessment and treatment of keratoconus.

My Eye Clinic can provide easy access to surgery with minimal waiting times.

My Eye Clinic has a new fully-equipped operating theatre staffed by specialist ophthalmic theatre nurses and supported by two consultant specialist ophthalmic anaesthetists.

Your Consultants

Consultant Ophthalmologist with a special interest in Cornea and Dry Eyes

Mr Morgan, a Consultant Ophthalmologist, is a Dry Eye Specialist who is an expert in the assessment and treatment of dry eyes.

M.B.B.S., Dip. Ophthalmology, MRCOphth, FRCOphth (London)

Saurabh Ghosh M.B.B.S., Dip. Ophthalmology, MRCOphth, FRCOphth (London) is leading Consultant ophthalmologist specialising in Refractive lens exchange and Laser Eye surgery in the North East of England. He specialises in Lens based vision correction surgery with premium lens to correct distance and near vision, Laser eye surgery, Cataract surgery, Corneal transplant surgery and other corneal surgery.

Costs

The inclusive cost of surgery, eye drops and follow up appointments

£1600 per eye

Risks

Collagen cross linkage is highly successful but for 2-5 days following the procedure, many patients experience moderate to severe pain. We can support them by careful advice on pain relief, and daily healing checks until pain settles. Other risks include:-

Infection

Incidence about 1 in 100. Could require intensive antibiotic treatment and rarely result in a corneal scar and permanent loss of clarity of vision.

Slowness to heal

Occasionally the corneal skin can be slow to heal causing prolonged blurring of vision and irritation for up to a few weeks.

Change in focus

The spectacle or contact lens prescription required for clearest vision may alter, so that a change of glasses or contact lenses is needed. The prescription strength may increase or decrease.

Toxicity of ultraviolet light

Overdosage of ultraviolet light to the eye could cause permanent clouding of the cornea or a cataract, both of which might need surgery. This would be extremely rare, and due to equipment malfunction.

Corneal hazing

The cornea may sometimes stay slightly hazy after cross linkage even though it has all healed up. In rare instances this can permanently reduce the clarity of vision.

Progression of ectasia

In a few cases, the cornea is not stabilised fully and we detect further deterioration over time. In such cases, repeat treatment may be recommended.

Start Your Journey With MY Eye Clinic

MY Eye Clinic
5.0
Based on 25 reviews
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Anthony TooleAnthony Toole
12:56 16 Apr 24
Alistair QuinnAlistair Quinn
13:07 09 Apr 24
First class recommendation for My Eye Clinic and in particular Andrew Peel who was professional, knowledgeable very thorough. A pleasure to deal with!
Holly RobinsonHolly Robinson
12:16 28 Mar 24
So helpful and reassuring. My site is amazing. The whole process was so smooth, I understood everything that I was told and knew of any risks and potential side effects before agreeing to anything. Couldn't be happier.
Dawn RaffleDawn Raffle
19:10 21 Feb 24
I recently had permanent lens procedure carried out by Mr Ghosh. Having glasses as a child and contact lenses for many years, this has been an absolute revelation for me. Mr Ghosh was absolutely brilliant and very professional from the start. All the staff are lovely and especially like to thank Dianne, Anita and the team. This has changed my life for the better thanks.
Anis FinnAnis Finn
09:35 29 Mar 23
Beautiful clinic, really nice atmosphere, prompt service and really friendly and professional staff. Fernando was particularly great!I would definitely recommend.
Mrs TigerMrs Tiger
17:51 17 Jan 23
Excellent care, all staff very courteous and helpful. YAG surgery clearly explained to me by Mr Morgan, who did a brilliant job. I'd highly recommend this clinic.
Arya DaniArya Dani
14:43 22 Dec 22
Good location
Audrey GilesAudrey Giles
08:58 23 Nov 22
I visited the My Hearing Clinic knowing I needed a hearing assessment but thinking it was just a build up of wax. It came as a shock that I heard a hearing loss which needed addressing. The service I received from Andrew was outstanding! He explained my hearing loss and went through all my options. He recognised that it was a lot of information to take in so made a follow up appointment, giving me sufficient time to think about what I wanted to do. From start to finish the service has been excellent, efficient, professional and friendly from the moment you walk through the door and meet Lee. The clinic is well located, parking on site, high standard of cleanliness. Definitely a recommendation from me. Thank you!
Andrea BoothAndrea Booth
19:55 22 Nov 22
Absolutely first class treatment and experience at this wonderful clinic. Staff were exceptionally welcoming and friendly Mr Morgan the consultant was lovely explaining everything. I had YAG laser treatment painless no discomfort and almost immediate corrected vision. Thank you all so very very much.
Glynis GallagherGlynis Gallagher
16:41 17 Nov 21
Visited clinic today with a totally blocked left ear. Had micro suction to remove a huge build up of ear wax. It was over in minutes. Excellent, efficient and friendly service from start to finish. Would recommend 100% Worth every penny!
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