About Corneal Cross-Linking
Solomon Eye Physicians and Surgeons is proud to offer a promising new long-term keratoconus treatment called corneal collagen cross-linking (CXL) or UV riboflavin CXL. Keratoconus is a progressive corneal disease that weakens the cornea over time. The promising UV riboflavin CXL procedure strengthens the cornea by stimulating the growth of its internal collagen cross-links. Corneal cross-linking works via a combination of riboflavin (Vitamin B2) eye drops (Photrexa) and the application of UV light.
If you would like to learn more about UV riboflavin corneal cross-linking or think you might be a candidate, contact our Greenbelt or Bowie, MD office to schedule an exam and consultation.
"Every staff member had a welcoming smile and treated myself and others with the utmost respect! One of the nicer eye doctors I've been to. Even had some nice art around the lounge!!"- J.W. / Yelp / Nov 20, 2019
"I went to their office in Greenbelt and they treat you with respect and very professional way."- B.T. / Facebook / Oct 31, 2019
"ICL surgery went extremely well. I initially went to Lasik but my eyes were too weak (-12.5 eye presecription with astigmatism), a little older than some at 49 and my corneas too thin. They recommended me to Dr. Solomon, and I am very grateful that they did. From my initial exam to post surgery Dr. Solomon and his staff have been exceptional. I had some eye prescription stability issues with the initial visit, so I had to where my glasses for a week, once my prescription stabilized, I had the surgery and then had issues with eye pressure. After a few eye visits and some additional eye drops I could not be more pleased with the results being able to see everything so clearly without any contacts or reading glasses."- R.T. / Google / Oct 26, 2019
"ICL surgery went extremely well. I did have some eye pressure issues after surgery but the office gave me medicine to relieve the pressure and follow up appointments all free of charge. I couldn't be more pleased with the results. My eye prescription was -12.5 with astigmatism, now I see 20/20 without any type of lenses. Not bad for a 49 year old. I highly recommend Dr Solomon and his staff for your eye care."- R.T. / Google / Sep 29, 2019
"Would recommend to everyone. My wife and I have been patients of Steve Solomon and then Johnathan Solomon for years. We both have had cataract surgery which has been wonderful and life changing. Office staff super helpful. Jasmine G is a real asset. If we could give them ten stars we would!!!"- J.D. / Google / May 14, 2019
Keratoconus patients aged 14 years and up are the best candidates for CXL, though most ophthalmologists agree that the earlier the patient receives treatment the better. The younger the patient is when he or she receives cross-linking, the more progression of the disease they can potentially avoid. Dr. Solomon will also need to determine that you've had a documented progression of the disease over the past 1 – 1.5 years. Patients who have post–laser surgery ectasia (corneal thinning) can also be candidates for corneal cross-linking. During your evaluation at Solomon Eye Physicians and Surgeons, we will perform a thorough exam to determine if CXL is the best option for you.
What To Expect
The UV riboflavin CXL treatment is a painless, outpatient procedure. It begins with the administration of numbing eye drops. Next, Dr. Solomon carefully removes the epithelium cells from the surface of the cornea and applies the Photrexa (riboflavin eye drops). The eye drops are absorbed into the eye within 15 to 30 minutes, after which the eye is exposed to ultraviolet light. The light interacts with the riboflavin to produce special types of oxygen molecules that gradually lead to the formation of chemical bonds within the corneal collagen fibers. These chemical bonds make the collagen fibers stiffer and stronger.
Following CXL treatment, patients generally recover within 3 – 5 days, during which time the eye is protected with a bandage contact lens. We will prescribe anti-inflammatory eye drops that you will need to use for an extended period of time during the recovery.
Keratoconus relief after CXL is generally achieved within one week after the procedure, and the condition continues to improve for up to 12 months. Contact lenses may be worn within one month after CXL, and most patients will experience a frequent change in eyeglass prescriptions until the cornea becomes fully stable. CXL is the only treatment that can potentially halt the progression of keratoconus, and in some cases, restore lost vision. Patients who achieve optimal results after CXL may choose to further correct their vision with laser eye surgery, such as LASIK or PRK.
Plan Your Procedure
CXL, or corneal cross-linking, is a life-changing treatment that can not only protect and improve your vision but may also keep you from needing a corneal transplant later in life. Dr. Solomon has successfully performed CXL for numerous men and women throughout Maryland. If you have keratoconus or another corneal-thinning condition, contact Solomon Eye Physicians and Surgeons in Greenbelt or Bowie, MD.