Mastery of Holcomb C3-R Crosslinking for Keratoconus and Other Disorders for Patients and Physicians

For patients and physicians, Wachler, an ophthalmologist who specializes in Keratoconus treatment, and Lipner, a medical writer, outline the use of Holcomb C3-R for Keratoconus and other conditions that cause the cornea to be weakened, as an alternative to cornea transplant, as well as how the technology can treat difficult corneal infections and autoimmune diseases that affect the cornea, and help reduce vision fluctuations in patients following radial keratotomy. They begin with the case of Olympic bobsledder Steven Holcomb, who underwent the procedure and made it famous, then discuss the history of crosslinking in industry, medicine, and aging; the basic science of corneal crosslinking; the first scientific investigations of the corneal crosslinking procedure; the development of Holcomb C3-R and early results; techniques; complications of the CXL procedure and the Holcomb C3-R technique; combining the Holcomb C3-R system with Intacs and conductive keratoplasty and phakic implantable contact lenses; and its use in improving stability for radial keratotomy patients, with photorefractive keratectomy, for corneal infections and autoimmune corneal melts, and for trampolining corneas after LASIK. Annotation c2013 Book News, Inc., Portland, OR (booknews.com)