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Eye Drops Can Help Save Patients From Eye Disease
It's an eye disease that forces people into a dark, blurry world. Every
day, people with keratoconus watch their vision slip away. Until now, a
cornea transplant was the only option, but a few tiny drops may save
their sight.
"I literally can see nothing unless it's six to eight inches away from my face," Marsha Watts told Ivanhoe.
Where others see details, Watts, a schoolteacher sees only a blur.
Every year, keratoconus takes away a little more of her sight.
"Os look like Cs," she described. "Cs look like Gs. I can't see
things at a distance. Night vision is very bad so I don't drive at
night."
A normal cornea is round, but in keratoconus the cornea stretches
into a cone shape, blurring vision. A clinical trial is testing a new
treatment called CXL. Drops of riboflavin, or vitamin B2, are applied
to the cornea in phases. An ultraviolet light activates the drops.
"There's a reaction between the ultraviolet light and the
riboflavin, which joins or links the collagen molecules in the cornea
and in doing so, makes it stiffer," Doyle Stulting, M.D., Ph.D., an
ophthalmologist at Emory Eye Center in Atlanta, Ga., told Ivanhoe.
That stiffness prevents the cornea from stretching, keeping its
round shape. CXL is approved in Europe. Dr. Stulting was the first to
perform the procedure in the United States.
"It's not very often in your career where you have an opportunity to treat a disease that had no treatment available," he said.
It can take months for vision to improve, but Watts saw results quickly.
"I had tears in my eyes," she recalled. "I was so excited that at one week, already I was seeing improvement."
She hopes that's a sign of things to come.
CXL is also being tested on a similar eye condition called ecstasia,
which happens when people with weak corneas get Lasik surgery to
correct their vision. International trials show CXL slows the
progression of both conditions, which cause 15 percent of cornea
transplants. Ten sites across the nation are recruiting participants
for clinical trials of the new treatment. |