MILLIONS of
middle-aged people with long sight can recover
normal vision with a new technique to be used in
Britain for the first time today.
Using radio waves to reshape the cornea frees
them from needing reading glasses — and
remembering where they last put them down.
The technique, conductive keratoplasty (CK),
has been approved by the US Food and Drug
Administration and is used in about 150 centres in
the US. The first procedures in Britain will be
carried out today at Horizon Laser Eye Centre in
Manchester by the centre’s medical director,
ophthalmic surgeon David Allamby.
Laser surgery has proved very successful for
short sight, where the need is to reduce the
curvature of the cornea and weaken its focusing
power. It can also be used for correcting long
sight but Mr Allamby said that it is not as
effective in that role.
Long sight affects 25 per cent of people aged
more than 45, and a half aged more than 60.
“Finally we have a technique for those millions
of people, including those who only need reading
glasses,” he said.
The new technique was developed by the US
company Refractec, which says that its purpose is
to “turn back the clock” on long-sightedness.
As we age, our eyes inevitably change, which
means that long sight may slowly develop. “It is
not a lifetime treatment,” Mr Allamby said.
“It turns the clock back about ten years. But it
can be done again if necessary.
“The average age of CK patients is 55,
compared to 38 for laser vision correction,” Mr
Allamby said. “We know from research that the
40-60 age group have been much less active in
considering laser surgery.
“Yet they are more interested in the safety
of CK and they like the fact there is no blade or
laser, and the important line-of-sight part of the
cornea isn’t touched.”The company does not
promise 20:20 vision. “No honest doctor can
absolutely guarantee a certain result from any
vision procedure,” Refractec says.
Its clinical trials have. however, shown that
92 per cent of patients with low to moderate
levels of long sight achieve normal or near-normal
vision after one procedure. Among Mr Allamby’s
first patients today is Howard Lockett, 53, of
Preston, a teacher of science and computer
studies. “I find difficuly when marking
students’ papers,” he said. “I need reading
glasses and I’m always putting them down.
“I hope that the treatment will allow me to
get rid of the reading glasses, at least until I
retire. After that, I may not mind so much.” The
FDA gave the technique its approval in April last
year after trials in which more than 400 people
were treated, with no serious complications. Mr
Allamby will offer the treatment in Manchester and
Bolton at first, but hopes that it will be
available in Harley Street in London within the
next month or so.
£1,000 an eye, no knife, no laser
The treatment works by causing the structural
material of the cornea to shink in a controlled
way, steepening the curvature of the cornea and
increasing its power as a lens.
This is achieved by applying radio waves
through a tip as fine as a human hair. The tip is
placed successively in a ring of spots around the
outside of the cornea, the number of spots
determined by the extent of long-sightedness.
There may be as few as eight or as many as 32.
The eye is anaesthetised with drops and the
pattern of spots imprinted on the cornea with
rinse-away ink to guide the doctor. The energy of
the radio waves causes the collagen around each
spot to shrink slightly. When the ring of spots
has been completed, the effect is to create a
“belt” of shrunken areas which squeezes the
cornea and steepens its curvature.
Unlike laser surgery, the technique does not
remove any material from the cornea, nor does it
involve any interference with the front on the
cornea. The spots are arranged around the edges,
an important feature for many users.
The whole procedure takes five minutes, and
costs about £1,000 an eye, similar to laser
surgery. Refractec say that most patients notice
an immediate improvement in their vision, but that
it usually takes a few weeks for the eyes to reach
the final level.