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Archive for the 'Keratoconus News' Category

Vanessa G. San Francisco

Friday, June 28th, 2013

I’ve had different procedures and surgeries done for both my eyes. I am a patient living with Keratoconus and until I found the eye turner eye institute I thought the road to better vision would be a hardship. Not with Dr. Patel and his team. Everyone at the office is super sweet and helpful. Eye surgery can be worrisome but all the anxiety goes away once you’re seen by any of staff members. Dr. Patel has implanted intacts into my eyes and I’m seeing a lot better than I ever could. I still have to use contacts but now I get soft lenses vs. the hard lenses which were a pain. Tony is a great lens fitter as well if you’re looking for that. I’ve seen different Doctors over the years but no one compares to Dr. Patel and the eye turner institute. 5 stars! Thanks guys!

Rich F. San Ramon

Thursday, June 27th, 2013

Went in Tuesday for my 4 week follow-up from my PRK surgery. My operated eye has been healing very well. No pain whatsoever, and not seeing any halo’s at night. Arrived 15 min. early for my appt. and only had to wait a few min. Assistant was very friendly, she checked my vision. 20/25 and then gave me some eye drops. Dr. Patel came in checked my eyes and gave me an eye pressure test. Then we chatted a little bit about the how my vision is doing. Told him it seemed like some days my vision was sharper than other days. He said that was normal, and that it could take several months for the vision to adjust and become permanent. Everything looked good and he sent me on my way till my next appt. in 30 days.

Will post again after my next appt.

Rich F. San Ramon

Wednesday, May 8th, 2013

· I had PRK surgery last week by Dr. Turner. So far everything is going good.

Here’s my experience so far.

Day before surgery – picked up prescription and began applying eye drops as instructed.

Day of surgery- went to eye surgery facility and they numbed my eye. (only had one eye done) my vision in that eye was 20-70 before surgery. The laser portion of the surgery took about 3 or minutes of me lying on the table and maybe 1 minute of the laser. They just have you stare at a red dot and tell you try not to move your eye away. It was totally painless. After that you go back to waiting room and let your eye rest. Then the doc. checked it out to make sure no issues and they send you home. Yes, they want you to have a ride. BTW, everyone at the facility was nice and friendly. It is not done at the doctor’s office.

After surgery – applied more eye drops as instructed and took a nap. Woke up a few more drops and relaxed. No TV & no computer. Went to bed wearing eye patch just in case I accidentally scratch my eye during the night.

Day after surgery – more drops. Vision was a little blurry in that eye but no problem I would use my other eye to see with. Which is 20-40 vision. More eye drops throughout the day. Was there any pain? No, luckily I had none. Did not need any pain pills or sleeping pills etc. My eye felt like I had maybe a speck or something in it that was more like an irritant. Only problem is you can’t rub your eye. Using the eye lubricant really helped to soothe that.

Day 2-5 more drops and very little discomfort. I decided to take the week off of work since I am on a computer all day. Surgery was on a Monday and by Friday I was starting to see more clearly with my eye. Tried to limit myself to little TV and no computer so the eye could heal better. It was little boring but a small price to pay.

1 week after surgery – Eye feels good seeing a little clearer and excited to get contact bandage lenses off, also looking forward to not having to take as many eye drops. I went to my appt. and they tested my eye sight and said it was 20-20. I was very pleased with that although outside in the real world didn’t seem like big change. I’m thinking my eyes are still adjusting. At the appt. they also took out the contact lenses bandage so that made my eye feel better. Next appt. is in 3 weeks. .

My assessment of the experience and The Turner Eye Institute.

Procedure was very easy and painless. Since I only had one eye done I was able to close that eye and use my other eye to do everyday functions/tasks so that did make it easier.

Why did I only have one eye done and not both? Because 20-40 vision in my other eye is not too bad and I will use that eye to read with and the operated eye to see long distance with. Your brain adapts and knows which eye to use. Also, if I had both eyes done I would have required reading glasses and I did not want to go that route yet.

Dr. Turner – excellent surgeon, bedside manner some people said that he has none but that is not true. He is just more quiet and reserved.

Dr. Patel – a young guy very nice and easy going. Answers all your questions for you. Will be a great replacement when Dr. Turner retires.

The rest of the staff are very nice and friendly.

Will post again in 3 weeks.

Adam L. Albany

Tuesday, January 1st, 2013

They have a new doctor. Doctor Patel. He is a very friendly and knowledgeable surgeon. I was glad to have met him.

Chris F. Milpitas

Tuesday, April 3rd, 2012

I just had both eyes done with the custom wavefront Lasik, using the thin flap blade procedure. I am extremely happy with my results. I have 20/15 vision, I can see everything crystal clear, high definition, and I don’t have any side effects. It’s been 2 weeks, I’m still doing the regimen of drops, everything has been great. I would highly recommend this procedure and Dr Turner. Maybe one of the best decisions I’ve made in my life. I read earlier negative reviews; they didn’t make any sense to me. I wasn’t in any pain afterwards, I could see the next day, and I thought Dr Turner was very pleasant. A coworker had recommended Dr Turner to me, as he had also had great results years ago. Extremely happy.

Richard S. Alameda

Friday, December 23rd, 2011

I have read all the reviews on yelp and have to say that Dr. Turner is a first class Dr. and human being. Up until now he has had an unbelievable schedule and a big patient load, but that goes with the distinction of being the best. I am 65 years old and have been severely nearsighted since 4 years old. I now have 20/20 vision after Lasik, 2 cataracts and detached retina. Dr. Turner performed flawless surgeries each time and again the result is near perfect vision. If Dr. Turner was a medical doctor I would trust him with my life.

Adam H. Richmond

Thursday, October 27th, 2011

I went to Turner Eye Institute because it provides more than just LASIK eye surgery. They provide nearly every possible treatment that is currently available and can recommend the best treatment for your eyes.
The surgeon is well-known by other doctors and recommended for his skill and experience. The staff is excellent. I am very satisfied with my experience with Turner Eye Institute.

Riboflavin Treatment – Removing the Epithelium

Thursday, January 28th, 2010

Riboflavin treatment has shown great results in some studies in strengthening the cornea of patients with keratoconus.  The treatment acts by increasing cross-linking within the cornea stroma with the application of ultraviolet light to the riboflavin solution.  In order for the treatment to be effective both the UV light and the riboflavin must be absorbed by the corneal stroma.  Above the stroma rests the epithelium, the upper layer of the cornea that sheds throughout the week.  Treating the epithelium with riboflavin and UV light is ineffective as it sheds itself regularly.  Additionally, the epithelium acts as a barrier to both the UV light and the riboflavin solution.

Studies show that without removal of the epithelium, both the UV light and the riboflavin are highly reduced and the effect of corneal cross-linking is also significantly reduced.  Additionally, some surgeons have expressed concern that by not removing the epithelium, the treatment is putting the patient at a higher risk for cataracts or macular damage since the riboflavin is less absorbed by the stroma and often a higher level of UV light is required if the epithelium is not removed.

Most ophthalmologists currently providing riboflavin treatment for corneal cross-linking are currently using an epithelium off method for maximum effectiveness.  Removing the epithelium results in a more uncomfortable recovery but maximizes the effectiveness of the treatment.

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Crosslinking treatment of progressive keratoconus: new hope

Friday, October 23rd, 2009

In the August 2006, Current Opinion in Ophthalmology, Gregory Wollensak presents his finding for the treatment of progressive keratoconus using collagen crosslinking by the photosensitzer riboflavin and ultraviolet A-light.  He summarizes that “biomechanical measurements have shown an impressive increase in corneal rigidity of 328.9% in human corneas after crosslinking.”

He further oncluded that, “The 3 and 5-year results of the Dresden clinical study have shown that in all treated 60 eyes the progression of keratoconus was at least stopped (‘freezing’). In 31 eyes there also was a slight reversal and flattening of the keratoconus by up to 2.87 diopters. Best corrected visual acuity improved slightly by 1.4 lines. So far, over 150 keratoconus patients have received crosslinking treatment in Dresden. Laboratory studies have revealed that the maximum effect of the treatment is in the anterior 300 μm of the cornea. As for the corneal endothelium, a cytotoxic level for endothelium was found to be 0.36 mW/cm2 which would be reached in human corneas with a stromal thickness of less than 400 μm.”

In summary, he stated that, “Collagen crosslinking by the photosensitzer riboflavin and ultraviolet A-light is an effective means for stabilizing the cornea in keratoconus. Collagen crosslinking might become the standard therapy for progressive keratoconus in the future diminishing significantly the need for corneal transplantation. Preoperative pachymetry and individual control of the ultraviolet A-irradiance before each treatment are mandatory. The treatment parameters must not be varied.”

Turner EYe Institute continues to maintain itself on the forefront of innovation.  For information regarding Keratoconus treatment, including collagen crosslinking, please contact our offices in San Jose, San Leandro, Concord, and San Francisco.

Riboflavin and Corneal Crosslinking for Keratoconus

Thursday, March 12th, 2009

Keratoconus patients have better opportunities than ever for treatments of their condition. Two new technologies have now been combined to offer a substantial benefit for patients with keratoconus. Corneal Collagen Crosslinking with Riboflavin combined with Intacs treatment offers an opportunity to possibly stop the deterioration of the cornea and even reverse it in many cases.

In the past, patients with keratoconus would wear hard contact lenses until those no longer helped. At that point, they would have a corneal transplant. Studies suggest however that early treatment may be beneficial in preventing this decline. Rather than wearing contact lenses until they fail, it is believed that intacs corneal inserts can be an earlier solution. Riboflavin treatment can also be used to improve the strength of the cornea.

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