Keratoconus Procedures

What is the Keratoconus Procedures?

Keratoconus is an eye condition that affects the cornea, the transparent front surface of the eye. Instead of maintaining its normal round dome shape, the cornea gradually becomes thinner and bulges outward into a cone shape. This distortion causes light to scatter irregularly inside the eye, leading to blurred and distorted vision, which can make everyday tasks like reading and driving more difficult.

Treatment Options for Keratoconus

The choice of treatment depends on the severity and stage of the condition. At Dr. Mohamed Nasr’s Eye Center, we offer a wide range of advanced procedures for keratoconus, including:

1. Corneal Cross-Linking:-

This procedure is designed to strengthen the corneal fibers and stop the progression of keratoconus by using ultraviolet (UV) light in combination with riboflavin (vitamin B2) eye drops.

Epi-off Cross-Linking: The outer layer of the cornea (epithelium) is carefully removed to allow riboflavin to penetrate deeply.
Epi-on Cross-Linking: Riboflavin drops are applied without removing the epithelium, making the procedure less invasive and more comfortable for patients.

2. Intracorneal Ring Segments (ICRS) with Femtosecond Laser:-

Using femtosecond laser technology, small ring segments are implanted within the cornea to reshape it. This reduces the cone-like bulging of the cornea and improves vision quality.

3. Laser-Based Treatments:-

In selected cases, laser techniques can be combined with corneal cross-linking to smooth the corneal surface and further enhance visual outcomes.

The Expertise of Dr. Mohamed Nasr

All keratoconus procedures are supervised and performed by Consultant Dr. Mohamed Nasr, who is:

Holder of a Master’s Degree in Ophthalmology – Ain Shams University
Member of the Royal College of Surgeons of Edinburgh, UK (MRCSed)
Fellow of the International Council of Ophthalmology – University of Cambridge, UK (FICO)
Member of the Egyptian Ophthalmological Society

These prestigious international qualifications, combined with years of clinical experience, have established Dr. Mohamed Nasr as one of the leading consultants in Egypt and the Middle East in diagnosing and treating keratoconus with the most advanced medical technologies.

Role of the Medical Team and Assistants

Supporting Dr. Mohamed Nasr is a highly trained medical team and professional assistants. Their role is to ensure every patient receives accurate testing, attentive care, and a smooth treatment journey in a comfortable and reassuring environment.

Why Treat Keratoconus Early?

To stop the progression of the disease and prevent further vision loss.
To improve visual quality and reduce dependence on glasses or contact lenses.
To avoid corneal transplantation in advanced stages.
To restore confidence and safety in everyday activities.

Our Mission

At Dr. Mohamed Nasr’s Eye Center, your eye health is our highest priority. By combining cutting-edge technology with the expertise of Consultant Dr. Mohamed Nasr, we provide precise diagnosis and effective treatment for keratoconus.

We are also proud to be the only center in Egypt offering exclusive home eye care services, equipped with advanced medical devices to deliver convenience, comfort, and professional care at your doorstep.

What treatments are available to slow the progression of keratoconus?

Corneal collagen cross-linking (CXL) strengthens the cornea using riboflavin and UV-A light. It’s the only intervention proven to stabilize or slow keratoconus progression.

Can vision be improved while stabilizing the cornea?

Yes—topography-guided photorefractive keratectomy (PRK) can be combined with CXL to reshape the cornea and enhance visual clarity.

What are intracorneal ring segments (ICRS), and how do they help?

ICRS (e.g. Intacs or Kerarings) are small polymer implants inserted into the cornea’s mid-layer to flatten its shape, improve contact lens fit, and delay the need for a corneal transplant. They’re reversible and minimally invasive.

Are there advanced techniques using laser-guided cross-linking or PRK?

Yes—combination approaches like Cretan protocol or Athens protocol integrate laser reshaping with cross-linking for enhanced outcomes.

When is corneal transplant necessary?

In advanced keratoconus—when scarring, extreme thinning, or instability prevent effective contact lens wear—a corneal transplant (full or partial thickness) may be required.

What types of corneal transplants are used?

DALK (Deep Anterior Lamellar Keratoplasty) replaces only the front corneal layers—reducing rejection risk and preserving healthy tissue.
PK (Penetrating Keratoplasty) replaces the entire cornea and is reserved for more severe cases.

What is Bowman layer transplantation?

A newer, less invasive surgical option where a donor’s Bowman layer is transplanted to strengthen and flatten very thin corneas, delaying or avoiding transplant.

Are there experimental or new treatments on the horizon?

Yes—recent research explores bio-engineered corneal implants made from pig tissue to treat advanced keratoconus, offering an alternative to human grafts.

How do I know which procedure is best for me?

Treatment depends on disease severity, progression, corneal thickness, and your visual needs. Dr. Nasr will guide you through the best option—be it CXL, ICRS, PRK, transplantation, or a combination.

Is keratoconus reversible?

While keratoconus cannot be cured, modern procedures like CXL and advanced surgical techniques help halt progression, improve vision, and often avoid more invasive surgeries.