1. to collect all scientific news concerning the keratoconus pathogenesis,
as well as its evolution and therapies;
We wish to inform Keratoconus patients that, in order to avoid Keratoconus worsening, exists an overtested (several thousands of operations) local anaesthesia technique that an Italian Roman Ophthalmology Professor, Prof. Dott. Massimo Lombardi, has invented and performed from 1984.
A.R.K. (Asymmetrical Radial Keratotomy), Mini A.R.K. and the today up-graded A.M.K. (Asymmetric Microsurgery for Keratoconus) the rate achieved with this technique and officialy declared by the inventor Prof. Massimo Lombardi and his equipe with an over 10 years follow up is 85% of Keratoconus regression, 10% Keratoconus stabilization.
The 80% of the patients acquire a full, natural Visual Acuity.
The 15% of the patients has a very small residual ametropia ± 2,5 diopters of sph. + cyl. that, with spectacles, can be easily corrected. After 1-1,5 years of Keratoconus objectively demonstrated stabilization, the residual ametropia sph. + cyl. (astigmatism) can be definitively corrected with an Excimer Laser very conservative ablation to reach, where possible, a 20/20 natural visual acuity. 5% still needs glasses and Prof. Lombardi does not suggest in those cases because of a larger (>± 2,5 ) ametropia a further Excimer Laser operation.
An eventual list of A.R.K. - A.M.K. permormed english speaking patients is available.
The technique produces an applanation (with consequent corneal curvature
regression) of the oversteeped part of the cornea where the keratoconus
is present. It is performed through very short 2-3 mm and 70% deep, diamond
microknife mini incisions on that area of steepening that every patient
can see on the corneal map. The result is a normalization of the irregular
curvature and a stop of the growth, and, in most cases, the consequent
total (80%) or partial (20%) regression of the ametropia and the patients
find it very satisfactory: 100% of the patients who performed the first
eye want to do the other.
Today, after an accurate overlook, we have found this technique as the
most demanded with the highest satisfactory rate.
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