Treatment of keratoconus was revolutionized with the Dresden Protocol for cross-linking to stop progression and the Athens Protocol for laser reduction of the corneal cone to improve vision.
Dr. Motwani has pioneered the CREATE+CXL Protocol, which dramatically increases removal of corneal irregularity with laser reconstruction that includes epithelial compensation of higher order aberrations followed by corneal cross linking. This can lead to a dramatically normalized corneal shape with significant vision improvement, reduction of visual abnormalities, and restoration of lost vision as well as prevent the need for corneal transplant.
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Trauma and infection cause corneal irregularity and scarring. These cases are all analyzed individually for scare removal via PTK and corneal reconstruction of irregularity to restore vision and avoid corneal transplant.
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Virtually any corneal irregularity from Radial Keratotomy can be reconstructed utilizing the patented CREATE Protocol to create a more smooth, uniform, corneal shape to decrease the visual problems associated with RK, including multiple images, glare, and decreased vision. The procedure is performed in a corneal reconstruction phase, and then a power correction phase to reduce or eliminate the need for any spectacle correction.
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The treatment of high myopia in many ways is significantly improved by topographic guided ablation as a much more uniform cornea with a large optical zone is created, minimizing the aberrant optics that lead to poor night vision.
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Laser Reconstructive Corneal Repair became possible in the United States when topographic guided ablation was FDA approved. This type of procedure selectively removes irregularities in the cornea, which is the main focusing part of the eye. Irregularity and warpage that has been caused to the cornea can now be corrected by reconstructing the cornea rather than just correcting it.
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Patients who have had poor outcomes from prior LASIK/PRK procedures can have their corneas reconstructed to restore vision and decrease visual abnormalities such as glare, excessive halos, and ghosting. The patented CREATE Protocol is able to perform reconstruction whether the outcome was affected by irregular laser ablation, corneal flap issues, or scarring.
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Corneal transplants often do not create a smooth regular corneal surface as a cadaver cornea is utilized and sewn into place create corneal mismatch, irregularity, and other technical issues that cause significant visual problems. These issues can be improved and corrected with corneal reconstruction utilizing the patented CREATE Protocol.
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Cataract Surgery is the most performed surgical procedure in the United States and has a phenomenal track record for improving vision. In some patients the surgical incisions used create corneal irregularity that causes decreased vison, ghosting, glare, halos, and other visual abnormalities. Corneal reconstruction can correct these problems restoring vision and decrease visual abnormalities.
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