About Laser Blepharoplasty
The cosmetic eyelid surgery is used to tighten the eyelid skin and to remove the bags caused by bulging fat deposits. At the Belo Medical Group we utilize a Carbon Dioxide laser to make out incisions. Absolutely no knives or scalpels are used to cut through skin. This means there is less swelling and bruising and a shorter recovery period.
To treat drooping uper eyelids, the skin should be pulled upward, away from the eyelashes thereby allowing more of the upper eyelid to be seen. Fatty tissue is typically removed as well while the incision for upper eyelid surgery is hidden in the natural crease of the eyelid. Fine sutures are placed to close the skin and are removed after 5-7 days.
Lower eyelid or eyebag surgery can be performed in several ways. When appropriate, an incision can be made on the inside of the eyelid through the conjunctiva completely hiding the surgery. At other times a skin incision is camouflaged by placing it just beneath the eyelashes. Through either incision, the fatty tissue is removed from the lower eyelid to help flatten it. At times, the skin is further tightened and smoothened by skin removal or the application of a skin resurfacing procedure.
How is Collagen crosslinking performed ?
The treatment is performed under topical anaesthesia with the patient in a lying down posture in the sterile environment of the operating room. The patient's corneal epithelium is gently removed, following which Riboflavin solution is applied every 5 minutes for the first half an hour. Thereafter the patient's cornea is exposed to UVA light for half an hour. The treatment is painless and lasts for an hour, at the end of which the eye is patched.
The cornea is the clear, transparent dome in front of the "black portion" of the eye. It is also the main focusing surface, which converges light rays as they enter the eye to focus on the retina. It is thus the most important part of the optical apparatus of the Eye. Loss of transparency directly results in loss of vision.
Concerns using UVA light
UVA light can potentially harm the vital cell layer of the cornea known as the endothelium as also the crystalline lens and the retina. However, the use of riboflavin and the choice of the wavelength of UV light used, substantially reduces the intraocular penetration of UV rays to negligible levels. Potential side effects are therefore avoided. It is mandatory to perform a preoperative measurement of the corneal thickness and to exclude patients with corneal thickness less than 400 microns.
The 3 & 5 year results of the Dresden clinical study on collagen crosslinking in human eyes has shown arrest of progression of keratoconus in all treated eyes Collagen crosslinking has thus emerged as a safe and effective , inexpensive non surgical promising new treatment for Keratoconus to slow the progression of the disease and to delay or avoid corneal graft surgery. With more long term experience in the arena , prophylactic treatment of Keratoconus might become possible with collagen crosslinking.