Hi Dr. Rick..
Will it be ok with you for other questions? I still feel there are more areas to discuss since there will be another consulation on Saturday and hospitals here may be presenting their maximum capacity in treating the condition. better treatment might exist in another hospital/country and we are ready for this if it gives better improvement.
I took my mother to the same doctor who did the consultation and he confirmed he has lazy eyes (amblyopia) beside his keratoconus and currently his vision is 20/70.
The operation they proposed to perform is corneal cross linking which will stop keratoconus from progressing and he will keep the vision to be 20/70. Later on they will give him glasses which will give 20/50 as maximum corrected vision.
1. Is there other treatments for similar cases?
2. Is 20/50 or even 20/70 vision anough for a person to live normal life? I did read on the internet is that 20/50 is considered mild low vision. but is 20/50 with his condition is the same as a normal person with 20/50 vision? do they see the same way?
3. is it possible that the hospital here does not have advanced glasses for his case? I mean maybe other specialized places can provide lens which can give him more than 20/50.
4. The doctor said that after cross linking. There is no need to do the transplant operation because it will not have an affect. What I understood from our conversation is that corneal transplant will always fix the bad vision (not what is lost). Why they are proposing glasses rather than the operation?
5. Will the vision still decrease after cross linking? Is it true that the vision will stop decreasing after the age of 40?
6. We are nearly convinced that he needs to do the cross linking.. Currently working on papers and insurance and at the same time getting more consultation. does the case need urgent treatment? will a month time affect the current vision?
I might need to update you next Saturday with the consultation report with another physician..
Very thankful for the follow up on this case