Laser Light Transepithelial Crosslinking

An Introduction to Laser Light Transepithelial Crosslinking

  • Clearview Institute is proud to be the first clinic to introduce Avedro’s Laser Light Transepithelial Crosslinking to Canada.
  • Clearview Institute is a leader when it comes to the combination of innovative and yet safe procedures and advanced, state-of-the-art technology to provide the best eye care possible.
  • Clearview Institute is at the forefront of vision care and is a world-class provider, with clients who travel all over the world to see us.

What Is Laser Light Transepithelial Crosslinking?

Laser Light Transepithelial Crosslinking is an innovative and much-improved version of corneal collagen crosslinking, the traditional treatment for those with keratoconus and ectasia, as well as other degenerative eye disorders.

Laser Light Transepithelial Crosslinking reduces the pain and healing time associated with conventional crosslinking, as well as the risk of infection because the epithelial barrier is not broken. This procedure is also becoming increasingly popular because it addresses the underlying cause of ectasia, which is a corneal weakness.

Laser Light Transepithelial Crosslinking is a safe and highly effective treatment option that strengthens the cornea. Decades worth of clinical studies has shown that this treatment is effective while also delivering permanent results.

Laser Light Transepithelial Crosslinking provides clearer vision by strengthening the cornea while also improving its shape. In this way, we can use this procedure to treat degenerative disorders of the cornea, such as keratoconus and keratectasia.

Traditional crosslinking generally requires the removal of the surface layer, which then has to regenerate itself. That delays the healing process and increases the risk of complications.

However, the new Laser Light Transepithelial Crosslinking procedure permits the surface layer to remain intact. That dramatically speeds up the recovery process and reduces the risk of complications. This new treatment also helps to prevent the necessity of a future corneal transplant.

How Does Laser Light Transepithelial Crosslinking Work?

Laser Light Transepithelial Crosslinking is a non-invasive procedure that doesn’t involve incisions or stitches. The method only requires a specialized “laser” delivery system, which precisely titrates the amount of energy delivered.

Laser Light Transepithelial Crosslinking is performed with state-of-the-art technology. This system reduces the crosslinking time from 1 hour to 3 minutes or less.

Why Choose Clearview Vision Institute for Keratoconus Treatment

At Clearview, we are constantly working to improve keratoconus treatment. With cutting-edge treatments like cross-linking eye surgery, we aim to provide only the best vision care — one that restores your eyesight, and offer the best possible quality of life.

Discover the Clearview advantage for life-changing keratoconus treatment:

  • We have always been at the forefront of vision care: Our doctors are regarded for introducing advanced laser eye surgery procedures to all of Canada
  • Cutting-edge keratoconus treatment: Our laser light transepithelial cross-linking surgery is the most advanced keratoconus treatment, developed to provide patients with the best possible vision correction
  • Commitment to patient care: Our corneal cross-linking surgery is made possible by a combination of personalized vision correction plans, advanced equipment, and the dedication of our eye doctors to your vision care.

Our approach to vision care and keratoconus treatment is holistic. We approach every keratoconus case with a broad perspective, beginning with evaluating your vision health and history. You can count on us to be transparent every step of the way, especially concerning risks and potential complications of the treatment. Our priority is to help you make an informed decision regarding your keratoconus treatment — and ensure the best possible outcome of your cross-linking surgery.

Crosslinking for Progressive Keratoconus

Crosslinking is a surgical treatment for progressive keratoconus and has been shown to slow or halt the progression of the disease. The procedure is done by removing a thin layer of the surface of the cornea called the epithelium, applying riboflavin drops and activating it with UV light. This helps to crosslink the collagen fibers together and form stronger bonds between them to prevent the keratoconus from progressing. This treatment has been shown to be highly effective in preventing keratoconus progression in most cases. Consult with our team of vision correction specialists to see if this is the right procedure for you.


Is Laser Light Transepithelial CXL suitable for individuals with mild or advanced keratoconus?

Laser Light Transepithelial Crosslinking (CXL) is suitable for individuals with both mild and advanced keratoconus. The procedure's non-invasive nature makes it a viable option for those with early-stage keratoconus who may not require more invasive treatments, as well as for individuals with advanced cases looking to stabilize or halt the progression of the condition. The eligibility for Laser Light Transepithelial CXL is determined through consultations with our eye care professional, considering factors such as corneal thickness and the extent of keratoconus progression. This personalized approach ensures that the treatment aligns with the specific needs of each patient.

How long do the effects of Laser Light Transepithelial CXL last, and is the procedure permanent?

The effects of Laser Light Transepithelial Crosslinking (CXL) are intended to be long-lasting, with the primary goal of stabilizing or halting the progression of keratoconus. While the procedure aims to provide enduring benefits, individual responses may vary. It is generally considered a permanent intervention in terms of its impact on stabilizing the cornea and preventing further deterioration associated with keratoconus. However, regular follow-up appointments with the eye care professional are essential to monitor the long-term efficacy and address any potential changes in the patient's condition over time.

Are there specific post-operative care instructions for patients undergoing Laser Light Transepithelial CXL?

After Laser Light Transepithelial Crosslinking (CXL), patients should follow specific post-operative care instructions, including the use of prescribed medications such as eye drops and protective sunglasses to shield the eyes from UV light. Avoiding eye rubbing, refraining from strenuous activities, and attending scheduled follow-up appointments are essential. Additionally, maintaining good eye hygiene practices and promptly reporting any unusual symptoms to the eye care professional contribute to a smooth recovery process and optimal outcomes.

What outcomes can patients expect in terms of vision improvement after Laser Light Transepithelial CXL?

Patients undergoing Laser Light Transepithelial Crosslinking (CXL) can generally expect stabilization or halting of the progression of keratoconus rather than immediate vision improvement. The primary aim is to strengthen the cornea and prevent further deterioration. While visual acuity may show some improvement over time, the extent varies based on factors like the severity of keratoconus. Realistic expectations, regular follow-up appointments, and discussions with the eye care professional are crucial for a comprehensive understanding of potential outcomes.

How does Laser Light Transepithelial CXL differ from traditional corneal crosslinking methods?

Laser Light Transepithelial Crosslinking (CXL) differs from traditional corneal crosslinking methods in the approach to strengthening the cornea. Unlike traditional methods that involve removing the corneal epithelium before applying riboflavin and exposing the eye to UV-A light, Laser Light Transepithelial CXL is a non-invasive procedure. In this technique, the UV-A light penetrates the cornea through the intact epithelium, eliminating the need for epithelial removal. This non-invasive approach aims to enhance patient comfort, potentially reduce healing time, and provide an alternative for those who may not tolerate or qualify for traditional corneal crosslinking.

Dear Dr. Kranemann, Many thanks in the nice, smooth and trouble free cataract surgery you carried out on both my eyes at Clearview Institute. I would like also to extend my thanks to all the staff of clearview. They are efficient, kind hearted and very helpful.J.T.
Dr. Kranemann is exceptionally intelligent and experienced. He is passionate about achieving perfect results for his patients, and proved it by correcting my father’s vision perfectly. We are very happy and grateful and highly recommend Dr. Kranemann.B.A.
Had the new vision correction procedure SMILE. WOW is all I can say. Life without glasses is amazing. Great surgeon and medical staff. Will refer his expertise on to family and friends.D.C.
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