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Daily Mail, Friday, January 31, 2003

By Jenny Hope, Medical Correspondent

Radio wave cure does away with reading glasses

FOR millions in their forties and older, when the newspaper begins to blur there seems little option but to invest in their first pair of glasses.  Laser correction treatment which works well for shortsightedness offers less help for the long sight often brought on by advancing middle age.  Now, however, a technique newly available in Britain promises to make reading glasses unnecessary by using radio waves to reshape the eye without surgery.

Costing up to £1,500, the procedure takes only five minutes and most patients can drive and return to work the next day.  Tests in the U.S. found it significantly improved the sight of nine out of ten patients, and half achieved 20/20 vision or perfect eyesight.  The technology, called Conductive Keratoplasty, or CK, uses tightly focused radio waves to heat points on the surface of the eye around the cornea, the clear window at the front of the eye.

Anaesthetic drops are first used to numb the eye. Then a probe with a tip thinner than a human hair applies energy from the radio waves in eight to 32 spots, depending on the strength of the correction needed.  The heat shrinks the collagen in the eye and pulls it tighter like a belt, increasing the curvature of the cornea and enabling the patient to focus more clearly on nearby objects.  
America 's Food and Drug Administration approved CK last April for correcting mild to moderate longsightedness. Since then, thousands  of 'baby boomer' Americans have tried it. By late middle age, at least one in three people are long-sighted, meaning they can see objects that are far away, but have difficulty focusing on objects that are closer, such as text in newspapers or books.

CK promises to help those with classic long sight who need glasses for distance as well as reading  by making both eyes more shortsighted. But it can also help those who have clear distance vision but require reading glasses in later life.  If the correction is made in one eye only, the patient develops 'blended vision', using one eye to see in the distance and the other for reading.

The technique is being offered in
Britain for the first time today at Horizon Laser Eye Centres in Manchester and Bolton , and next month in London 's Harley Street , costing between £1,000 and £1,500.  'We finally have a procedure specifically for those millions of longsighted people over 40,' said Dr David Allamby, medical director of  Horizon Eye Centres. It is primarily aimed at those aged 40 to 60, but can also be used for those in their 70s and above.

Patients experience a feeling of grittiness for the first 24 hours, said Dr Allamby.  'But you can usually see the difference straight away,' he added. 'The. vision settles down over the next week.' It is not yet known  whether the eye will hold its new shape indefinitely  'We need long term studies, but it is possible to treat more than once' said Dr Allamby.

Rita Thomas, a 47-year-old GP practice nurse from
Manchester , will be the first Briton to have CK today.  She started wearing glasses in her 20s for driving, but lately needs another pair for close work. She said: 'I get so fed up with losing my glasses, it will be wonderful if 1 can throw them away.'

 

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