About Corneal Cross-Linking
To maintain the shape and strength of the cornea, our award-winning team at Vance Thompson Vision may advise corneal cross-linking to patients who present moderate to severe corneal thinning and/or keratoconus. Our doctors are committed to creating and protecting your vision, and they are delighted to offer corneal cross-linking as it was recently approved by the FDA. Vance Thompson Vision has been involved with corneal cross-linking since 2011 through our participation in the clinical trials leading up to FDA approval. We are now implementing this exciting technology and eager to continue developing and researching this treatment. At our office in Fargo, ND, we see patients with advanced cases of irregularly shaped corneas, also known as ectasia, and we look forward to treating these patients as soon as possible.
Corneal cross-linking, also known as CXL, is implemented to slow the progression of ectasia. CXL will not restore the cornea to its initial shape or correct poor vision. In treatment, we use a combination of ultraviolet light and riboflavin to form additional cross-links to stabilize the cornea.
What is ectasia? Patients who experience ectasia have devastating vision loss as the cornea bulges so much that the protrusions change the natural dome-like shape into a cone-like contour. At some point, the cornea will start to lose its strength since it is stretched beyond standard means. Vision in patients with ectasia will weaken as the cornea progressively weakens as well.
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"Both my husband and myself received the services of Dr. Greenwood, one year apart. Our experience has been excellent. We both had lenses placed at the time of our cataract surgery so we would not need to wear glasses and are extremely happy with the results. I also needed stents placed to address my condition of high pressures in my eyes and to avoid problems with glaucoma. The only issue I encountered following my surgery was with the eyesight in one eye that was not “as sharp” as Dr. Greenwood felt it should be. With one simple procedure he was able to get the vision 20/20 in that eye also. From our initial clinic visit, the kindness of everyone from front desk clerks and examining nurses through the surgical procedures, and then the follow up call to inquire how we were doing from Dr. Greenwood himself the evening of our surgeries, we couldn’t be more satisfied or happy with the results and have recommended Dr. Greenwood to others."- N.R. / Healthgrades / Aug 20, 2020
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An ideal candidate for CXL will have a diagnosis of ectasia, keratoconus, pellucid marginal degeneration, and any other disorder or disease that will lead to the thinning of the cornea. Patients with blurred or distorted vision, chronic eye irritation, or glare/light sensitivities may also be referred to our practice for a consultation as these conditions can be symptomatic of something wrong with the cornea.
While CXL is not a surgical procedure, it is still referred to as a minimally invasive treatment. During your diagnostic testing, your corneas will be mapped to detect deterioration and the level of severity of your condition. When you come into our office for your CXL procedure, you will lie on your back with an eye held open (one at a time) for the treatment. Riboflavin drops will be added to the eye while you are under ultraviolet light.
Advanced cases of ectasia will require the removal of the epithelium layer of the cornea to allow the liquid riboflavin to infiltrate within the corneal tissue. During treatment planning, your surgeon will discuss all your options for strengthening your cornea and how to manage your eye condition in the future, as CXL can be combined with other procedures for a more comprehensive treatment.
What to Expect
Your post-procedure aftercare is very important to your treatment. Please schedule and keep all follow-up appointments. You should watch for excessive swelling, irritation, pain, and/or infection in your eyes. Call our office immediately if you experience these symptoms.
- Recovery Time
- 3 - 4 days
- Procedure Time
- 1.5 hours
- Follow Up Time
- 3 days, 2 weeks, 1 month
- Recovery Location
Get Connected To Us
Having this sight-saving procedure may eliminate your need for a corneal transplant in the future. We invite you to connect with Vance Thompson Vision to learn more about how CXL can slow your progressive keratoconus or ectasis. Schedule your consultation today.