Wavefront-guided TransPRK

Do you have poor vision from keratoconus or not tolerating your rigid contact lenses? Dr. Arbabi may be able to help you with an advanced wave-front guided treatment combined with corneal cross-linking.

What is Wavefront-guided TransPRK combined with Corneal Cross-Lininking (CXL)?

This is a treatment specifically designed for patients with keratoconus who suffer from poor vision. This is a type of laser eye surgery but it differs from normal laser vision correction surgery. The main aim of this treatment is not to make you glasses free but rather to help you get better vision with glasses or contact lenses while delaying or sameday lend eliminating the need for major surgeries such as corneal transplant. The laser aims to improve the higher order aberrations (these are imperfections of the eye that cannot be corrected by glasses alone).
Wavefront-guided TransPRK

Who is suitable for this treatment?

Take our online suitability test

1 Min. Assessment

If you have Keratoconus and answer yes to the following questions you may be a good candidate: 

If you have good vision with your glasses, then you are not suitable for this treatment.  Dr. Arbabi will perform a comprehensive assessment to see if you are likely to benefit from this. 

How is the surgery performed?

It is a two-step surgery. First the laser machine aims to improve the irregularities on the surface of your cornea. This is then immediately followed by corneal cross-linking which creates new links between collagen fibers within the cornea to strengthen it and decrease the risk of your keratoconus worsening post-surgery.

What to Expect

On the Day of Your Treatment

laser eye surgery
1. Warm welcome
You will meet with Dr. Arbabi who will review your clinical measurements, examine you and make you feel at ease.
laser eye surgery
2. Ensuring you are comfortable
Local anaesthetics eye drops will be instilled in your eyes to ensure they are completely numb and comfortable throughout the procedure.
3. Wavefront treatment
An advanced excimer laser uses a complex map of your eye to deliver laser pulses precisely to the locations required to decrease your corneal irregularities. The Smart pulse TransPRK technology will make this a ‘no Touch’ laser with no instruments touching your eye. This takes about 20 seconds.
4. Corneal cross-linking

Riboflavin (Vitamin B2) drops will be used for your eyes . You will then be staring at an ultraviolet light for a few minutes. At the end a bandage contact lens will be inserted in the eye.

After the Treatment

after treatment care
1. What to Expect

The eye will be very sore and uncomfortable soon after the procedure. The vision will be blurry and light sensitive until the surface skin grows back. The eye and the vision should feel much better after 2-5 days.

after treatment care
2. Aftercare drops and advice

You will be given your aftercare drops and advice. You will also be given pain killer medications to take for 2 days. You will be asked to lie down in a dark room with your eyes shut for most of the next 2 days to speed up the recovery. Avoid putting makeup on your face for one week and on your eyes for 2 weeks following the procedure.

after treatment care
3. The future

You will be seen the next 2-5 days. You should be able to resume most normal activities and sports within 2-4 weeks. As part of our unique service you will be given Dr. Arbabi’s personal phone number so you can call or WhatsApp him directly if you had any concerns or want to discuss anything about your procedure. 

More information

Wavefront-guided TransPRK step by step answer to all your questions

The main advantage is the procedure has the ability to improve the quality of your vision with a new pair of glasses and hence may eliminate the need for other more invasive surgeries to give you better vision.

  • There is a possibility that your keratoconus could progress further after the procedure. The risk of this is reduced as you have had corneal cross-linking.
  • Other risks are similar to LASEK surgery.
  • The results are not always predictable. The technique still continues to be an art as well as a science. Some patients experience significant improvement while others may benefit very little or not at all. Based on Dr. Arbabi’s extensive experience in patients with keratoconus and the available guidelines, he will explain the likelihood of benefiting your eye.

Alternatives include:

  • Having cross-linking alone.
  • Keraring implant with or without cross-linking.
  • Trying different types of contact lenses and getting new glasses. 
  • In very advanced cases, patient may require corneal transplant. 

Discover the freedom from glasses or contact lenses

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