{"id":11441,"date":"2020-06-28T03:00:48","date_gmt":"2020-06-28T00:00:48","guid":{"rendered":"https:\/\/drborismalyugin.com\/operatsiya\/corneal-surgery\/uf-kross-linking"},"modified":"2020-08-16T22:24:27","modified_gmt":"2020-08-16T19:24:27","slug":"uv-crosslinking","status":"publish","type":"operatsiya","link":"https:\/\/drborismalyugin.com\/en\/operatsiya\/corneal-surgery\/uv-crosslinking","title":{"rendered":"UV-crosslinking"},"content":{"rendered":"<section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Keratoconus is an eye disease that causes the cornea to thin and bulge forward, resulting in irregular astigmatism and myopia. Keratoconus progression can be successfully treated with UV cross-linking. This procedure is based on the basic and clinical research of experts from Germany and Switzerland.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom color_alternate\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>It has been continually upgraded over the past decades. Currently, several variations of UV cross-linking are widely applied in ophthalmology clinics around the world. All ensure either complete halt or significant slowing down of keratoconus progression, eliminating the need for corneal transplant surgery.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">Key benefits and characteristics<\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Corneal treatment by UV cross-linking is a two-step procedure:<\/p>\n<ol>\n<li>A special solution containing a photosensitizer (riboflavin) is instilled into the eye, saturating the corneal stroma.<\/li>\n<li>A high-precision emitter that generates low-power ultraviolet rays is used to irradiate the cornea.<\/li>\n<\/ol>\n<p>As a result, chemical bonds are formed within the cornea, having a strengthening (cross-linking) effect on collagen fibrils. In the process, the collagen skeleton of the cornea is changed, preventing it from becoming thinner and bending further.<\/p>\n<p>At the end of the procedure, an antibiotic and an anti-inflammatory agent are instilled, and the patient is provided eye protection with a special therapeutic contact lens.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_auto width_full\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><section class=\"l-section wpb_row us_custom_938809ae height_auto color_primary\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_middle type_default reversed stacking_default\"><div class=\"vc_col-sm-6 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-image us_custom_1fd2f432 style_shadow-1 align_center\"><div class=\"w-image-h\"><img decoding=\"async\" width=\"358\" height=\"512\" src=\"https:\/\/drborismalyugin.com\/wp-content\/uploads\/malyugin-3-358x512.jpg\" class=\"attachment-medium size-medium\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/drborismalyugin.com\/wp-content\/uploads\/malyugin-3-358x512.jpg 358w, https:\/\/drborismalyugin.com\/wp-content\/uploads\/malyugin-3.jpg 601w\" sizes=\"auto, (max-width: 358px) 100vw, 358px\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"vc_col-sm-6 wpb_column vc_column_container has_bg_color stretched\"><div class=\"vc_column-inner us_custom_df02dd93\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_contrast align_center no_text\"><a href=\"tel:+74999065001\" class=\"w-iconbox-link\" aria-label=\"+7 (499) 906-50-01\"><div class=\"w-iconbox-icon\" style=\"font-size:2rem;\"><i class=\"fal fa-phone-alt\"><\/i><\/div><\/a><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\"><a href=\"tel:+74999065001\" class=\"w-iconbox-link\" aria-label=\"+7 (499) 906-50-01\">+7 (499) 906-50-01<\/a><\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p style=\"text-align: center;\">You can make an appointment by phone from 8:30 to 19:30 (daily).<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n<\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h2 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">UV cross-linking has several positive features:<\/h2><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><ol>\n<li>The procedure is painless.<\/li>\n<li>Duration is 30 minutes or even less.<\/li>\n<li>The effect is maintained for five years or more with refraction stabilization.<\/li>\n<li>Negative effects on deep eye structures (corneal endothelium, lens, or retina) are absent.<\/li>\n<\/ol>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom color_alternate\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Depending on the eye\u2019s individual characteristics, the doctor may choose between two major options for treating the cornea:<\/p>\n<ul>\n<li>Traditional &#8211; requiring removal of the upper corneal layer (epithelium) for the deepest drug (riboflavin) penetration.<\/li>\n<li>Transepithelial &#8211; with no need to remove the epithelium. After application of a drug that loosens the bounds of the epithelial cells, riboflavin freely penetrates the corneal tissue.<\/li>\n<li>This procedure is gentler and guarantees minimal chance for complications. However, it is less effective and, as a rule, is not applicable for children, whose disease is usually more aggressive.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"w-iconbox us_custom_70facfb4 iconpos_left style_default color_secondary align_left no_text\"><div class=\"w-iconbox-icon\" style=\"font-size:3rem;\"><i class=\"fad fa-eye\"><\/i><\/div><div class=\"w-iconbox-meta\"><h3 class=\"w-iconbox-title\" style=\"font-size:1.2rem;\">Indications and contraindications<\/h3><\/div><\/div><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Several corneal diseases can be treated with UV cross-linking:<\/p>\n<ul>\n<li>Keratoconus (to stop progression).<\/li>\n<li>Bullous keratopathy (to relieve pain).<\/li>\n<li>Corneal ulcer (with bactericidal purposes).<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom color_alternate\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>Cases when UV cross-linking is not recommended:<\/p>\n<ul>\n<li>For patients younger than 16 years.<\/li>\n<li>In thinning of the cornea of less than 400 microns.<\/li>\n<li>When significant corneal opacity is present.<\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_custom\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_flex valign_top type_default stacking_default\"><div class=\"vc_col-sm-12 wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><p>During your visit to the ophthalmology clinic, comprehensive diagnostics will be carried out to verify the nuances of eye status, followed by selection of the appropriate treatment protocol suitable for the patient\u2019s specific needs.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"featured_media":11220,"parent":11437,"menu_order":0,"template":"","meta":{"footnotes":""},"categories":[80],"tags":[],"class_list":["post-11441","operatsiya","type-operatsiya","status-publish","has-post-thumbnail","hentry","category-procedures"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya\/11441","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya"}],"about":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/types\/operatsiya"}],"version-history":[{"count":0,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya\/11441\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/operatsiya\/11437"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/media\/11220"}],"wp:attachment":[{"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/media?parent=11441"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/categories?post=11441"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drborismalyugin.com\/en\/wp-json\/wp\/v2\/tags?post=11441"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}