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CK - Conduct Keratoplasty
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 A non-laser method of correcting both farsightedness (hyperopia) and age-related farsightedness (presbyopia), conductive keratoplasty (CKTM) utilizes radio frequency energy to change the focusing power of the eye. By directing the energy at the collagen tissue thecornea, in concentric circles, the process adds contour to the tissue so that the eye can focus on near objects. CK does not require an incision and no eye tissue is removed.
The current clinical trials before the FDA are now closed and enrolling no new patients. However, a request is currently before the FDA to reopen enrollment on a limited basis while the approval process continues and a decision on this request is expected by the end of December 2000, with procedures recommencing January 2001.
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What are the most common benefits of this surgery? |
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The goal of CK is to free a patient from lenses needed to correct their farsightedness or presbyopia. In recent 12-month results for the procedure in treating farsightedness, most patients did not need lenses. Fifty-six percent of the patients had
20/20 vision or better, 70% had 20/25 or better and 93% had 20/40 or better. These results were also done with no retreatments, so in non-test conditions the results would be slightly more positive.
If the results for CK remain comparable to other approved technologies in trials, unique benefits of this procedure compared to others would be an anticipated lower cost, the less invasive nature of the procedure, the possibility of a more stable outcome, and the possibility to do both eyes in the same day. The procedure will probably cost less because the machine that delivers the radio frequency energy is much less costly than a laser.
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What will happen at the initial consultation? |
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At the initial consultation you will be carefully tested to determine whether your difficulties in seeing near objects is due to hyperopia or presbyopia. In order to get an accurate measurement of the curvature of the cornea you must wear eyeglasses for two weeks before the consultation if you wear soft contacts and three weeks before the consultation if you wear hard contacts. This is very important, as the exact nature of the cornea shape problems will determine in what pattern the radio frequency energy will be applied to the eye during the procedure. The doctor will also perform a complete history to determine if you have pre-existing medical conditions that will make the surgery more difficult.
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How is the procedure performed? |
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The patient is taken into the minor surgery suite where he/she lays down under the operating microscope. Anesthetic drops are placed in the eye to numb them. Depending on the type and severity of the cornea curvature, thermal spots are positioned in one or more ring formations just outside of the line of sight of the eye. The surgeon does this by placing the tiny penetrating tip of the radio frequency generator into the cornea and applying the energy. The conductive qualities of the
corneal tissue transfer the energy as heat, denaturing the collagen at the spot. The circular column of flattened corneal tissue that is formed is very small, approximately 100 microns wide and 500 microns deep. When created in ring formations this increases (steepens) the curvature of the cornea, enabling the eye to focus on near objects.
Once the desired curvature is achieved, the patient then leaves the operating suite and begins administering antibiotic and analgesic eye drops four times a day. A prescription for a pain medicine is also provided, though most patients do not need to take more than a Tylenol or aspirin postoperatively.
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How long does the surgery take? |
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The procedure is very quick, running two to five minutes per eye.
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Where will the procedure be performed? |
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The procedure can be performed in the ophthalmologist's office or a minor surgery suite of a hospital.
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How much pain is there? |
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Local anesthesia, in the form of numbing eye drops, are administered at the beginning of the procedure so there is no pain during the surgery. There is usually no pain afterwards other than some mild tenderness or scratchiness for a few days after the surgery. This tenderness can be treated using over-the-counter medicine such as acetaminophen or aspirin.
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What can I expect after the procedure? |
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You will need someone to drive you home after the surgery. Mild eye irritation for several days is not uncommon. Generally, patients notice improvement of vision as soon as the first day after surgery, although gradual improvements may continue for several weeks afterwards. Recovery is very quick, as no tissue has been removed during the procedure and no flap has been cut which has to heal.
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What is the recovery period like? |
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Two to three days after the surgery, most patients who had experienced eye tenderness will find it gone. Vision may be greatly improved at this point, but can get better for several weeks afterward. Compared to other vision surgery procedures, the recovery period for CK is quick and relatively pain free.
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What is the long-term outcome like for most people? |
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In the most comprehensive study of CK to date, the FDA clinical trials, the 12-month results for the procedure in treating farsightedness were as follows: 56% of the patients had 20/20 vision or better, 70% had 20/25 or better and 93% had 20/40 or better. The results appear to be stable, but because the procedure is so new, very long-term data are not yet available.
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Ideal Candidate: |
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The ideal candidate for this procedure would be someone suffering from farsightedness.
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Other important information |
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The company that makes the radio frequency generator used in CKTM is called Refractec. Ienhnace will provide further information on credentialed and trained physicians for these procedures as they receive FDA approvals for the U.S.
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Risks and Limitations: |
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Eye irritation is the only side effect that has been noted so far. However, if the energy is not applied correctly to the surface of the cornea,
astigmatism (irregularities) in the surface could cause vision problems.
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Costs |
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There will be a fee for participating in the limited performance of the procedure during the approval process, but at the time of the writing of this article it is yet to be determined. You should contact individual doctors for more updated information. Use our payment calculator to see what your monthly payments might be if you financed this procedure.
Apply now
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Choosing a doctor |
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IEnhance will keep you informed of physicians qualified and trained to provide this procedure as the FDA trials and studies deem approved for us in the US. You can review our list of doctors by using our Physician Locator.
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Questions to ask your doctor: |
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For more information on questions to ask your doctor please review article "Questions for your Eye Doctor".
- What are the benefits of this surgery and what chances do I have of getting these benefits?
- What are the risks involved in this surgery and what are the chances of me encountering these risks?
- What other procedures for retreatments are avialable if I am unhappy with my vision?
- Do you offer patient financing?
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Be sure to: |
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- Not wear your contacts for two (soft) or three (hard) weeks before the initial consultation to ensure an accurate measure of your corneal curvature.
- Tell your doctor about any medical conditions you have and any medications that you are taking. Include any self-prescribed medications that your are taking, such as herbs or other natural remedies.
- Carefully follow the doctor's instructions regarding the use of eye drops after the surgery.
- Arrange for someone to drive you home after the surgery.
The information on this web site is intended only as an introduction to this procedure and should not be used to determine whether you will have the procedure performed nor as a guarantee of the result. The best method of determining your options is to consult qualified surgeons who are able to answer specific questions related to your situation.
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How do I finance this procedure? |
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Did you know that 29% of all Americans have considered having an elective procedure? Of those, 60% would schedule a procedure immediately if financing was available. With iEnchance's patient financing options, money no longer has to be the barrier between you and your new image. By filling out our on-line application you can qualify for a loan in as little as 30 seconds.
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Related Articles |
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Please review the following articles for more information on this procedure.
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