FAQ - Corneal Neovascularization
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Corneal neovascularization?


If I have some visible veins in my eye due to corneal neovascularization, what can I do to make the veins go away?
What does it mean to have "ghost vessels"?
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The veins will not go away, but they may empty out and be left behind as ghost vessels. I am assuming that you have them as a result of contact lens overwear. If this is the case, follow your doctor's prescribed replacement schedule. The best alternative is no lenses at all, but barring that, a daily disposable is nice as you get a brand new, fresh, clean, lens every day. If you have this condition due to alternative reasons, that's a whole other topic.  (+ info)

If you have corneal neovascularization, which is better - gas permeable contact lenses or disposable lenses?


I am not sure which offers my eyes more oxgen - gas permable lenses or the newer, thinner disposable daily contact lenses. An optician at an eyeglass store sold me the disposables, but I am worried that his medical advice was biased by the sale. In the past, I have been told that gas permeables are the best for corneal neovascularization. The optician told me that things have changed with the evolution of the dispoable lenses. Any unbiased help would be much appreciated. Thank you so much!
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Some of the daily disposables are great because you get a fresh, clean lens every day so the matrix isn't clogged up by wearing them over time. Ask your doctor for the highest Dk (oxygen permeable) lenses which he/she believes are right for you whether it be soft or rigid.  (+ info)

How long until Corneal Neovascularization gets better?


I know after a while, the blood in the vessels goes away and ghost vessels are left behind. What I don't know his how long that takes.
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It varies from person to person. It just depends on how rapidly your body heals. Some people heal more rapidly than others. It could last days, it could last weeks. There is no set pace at which the cornea heals.

Ophthalmic Technician  (+ info)

can i get lasik if i have corneal neovascularization?


at my last eye exam, i was told to stop wearing contacts because they were depriving my eyes of oxygen, and therefore causing blood vessels to form on my eyes. i have really bad astigmatism and do not want to wear glasses. could i be a candidate for lasik or prk?
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This will not be a problem at all. In fact, the presence of neovascularization secondary to contact lens wear indicates to me that you should think seriously about having LASIK done. I have had patients with neovascularization have LASIK and even have the microkeratome cut directly through the neovascular vessels. They just bled a little and quickly resolved.

As to your other answerer who told you not to go to an optometrist, I would differ with his opinion. Optometrists are highly qualified to provide pre and post operative care (some are even qualified to perform laser vision correction PRK) and are in a much better position to give you a non biased assessment of your risks and benefits than the opthalmologist who is highly financially vested in the procedure. Patient selection is the number one predictor of success and when a surgeon's selection process is based upon whether you are breathing or not --- well that's just not a real good method of patient selection. Not saying at all that all surgeons are like this. In fact most aren't. But I know personally of one who scares me completely to death!!!!!  (+ info)

Can anyone answer ???'s about corneal neovascularization?


My husband was diagnosed with this yesterday. I have read about it to some degree, but have questions.

Is laser surgery required to fix or stop the progression?
Is it considered an elective surgery, therefore Insurance will not cover it?
Our eye dr contacted a laser eye center but that particular one is not in our insurance network. Can we change the appt to another laser eye center without going thru our primary eye dr?

Any other info you can give in regard to treatment or experience, please please let me know.

Thank you in advance.
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You should be asking these questions to your insurance company and to your doctor. His situation is unique so only someone that has seen him can give you a diagnosis. All insurances are different, so no one would really know your insurance companies requirements. I am sorry that this is not something that is that easy. All I know is that if you overwear contacts, and sleep in them when you are not supposed to you can get this very easily. Contacts are considered cosmetic by many insurance compaies so an injury due to negleting to care of a cosmetic appliance might not be considered a necesity. Ask them. But then you never know...they might cover it!  (+ info)

Could I have corneal neovascularization?


I am seventeen and have been wearing contacts for about 2 years now. Recently I have been recovering from pneumonia and have been dealing with the terrible cough associated with it. I decided that once the cough had died down a bit that I would try putting my contacts in (I hadnt worn then in a while due to the cough). but when I got home from school my eyes were blood shot and painful. My mom and I figured I was busting blood vessels in my eyes from the still slightly lingering cough so I waited two weeks and tried to wear them again. But I got the same results. This time I thought I had given myself pink eye and threw out that specific pair of contacts and got out a new pair.i waited another two weeks and tried again with the new pair,but still got the same horrible pain and redness.
My eyes never used to do this until after I got sick. I have done research and I believe I have corneal neovascularization. The Info I have read on it and the pictures I have seen all sound and look like what I am experienceing.
Plus i have an astigmatism and am wondering if me having been sick has caused my eyes to change shape and is making my contacts tight on my eyes causing these symptoms.
PLEASE HELP ME! what should i do and what do i need to talk to my eye doctor about to get theis figured out!
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Corneal neovascularization usually is not visible without a bio-microscope. It is a chronic problem rather than an acute one. I think it is more likely that you have developed sensitivity to some part of your contact lens regimen. You can start by switching your care system to Clear Care. You need to follow the instructions exactly. Used properly, there is nothing in this system that you can react to. If that does not work, you should be refit in a different kind of lens. Your immune system has been hard at work fighting off your pneumonia. Evidently it has decided something about your contacts is so foreign that it must go as well.  (+ info)

Any treatment options for Corneal neovascularization?


I am 25 years old and was diagnosed with Corneal neovascularization. I know the basics of this disease and I am spreading the seriousness of this of this disease to everyone I know so they can prevent this. I’ve been wearing contact since I was 14 years old. I’ve had keratitis and countless vision problems. My prescription is -10.00/-10.50. My ophthalmologist told me I have a bad case and basically told me I can never wear contacts again. How true is that? Can I wear hard contacts? Is there any treatment options or therapies? Eye drops, Ointments, Surgeries? Should I get a second opinion? I don’t mind wearing glasses but my prescription is very high… I just feel I was given a one-sided answer. So many advances in technology today and I wasn’t given any options…
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Thanks for spreading the seriousness of this, we do what we can, but everyone thinks it can't happen to them.
There is no treatment, you have to let your eyes heal and NO contacts. I talked to my doctor (my boss) and he said it really depends on how severe it is on if you can ever wear contacts again. You may be able to wear a lens with a very high oxygen transmission, like the Ciba Focus Night and Day, but you'll never be able to sleep in them or wear them for extended hours. You know that you have blood vessels growing into your cornea, those vessels will not go away although once you stop wearing the contacts, the blood IN the vessels will go away and you will be left with what we call "ghost vessels". Because of the ghost vessels, it will be easier for the blood to come back into them if you over wear or abuse your contacts again. You may be able to wear contacts again, but you have to let your eyes heal and the blood to get out of the vessels before you can even think about contacts again. Wait 6 months and have your eyes checked again, if you still can't wear contacts, wait another 6 months and get them checked again.
I know you know this, this is for everyone else who may read this. Your eyes need to breathe just like your mouth, wearing a contact on your eye is basically doing the same thing with your hand over your mouth. You can still breathe, but it is harder. If you over wear, sleep in, abuse, or not properly clean your contacts, your eye will not get enough oxygen and start to grow blood vessels into your cornea. This is very, very bad, if you can't tell by the desperate plea for contacts...
I'm sorry I don't have the answer you want, it's one of those things that depend on your eyes and your doctor. No doctor wants to tell you it's okay to wear contacts and have the neo advance and get sued.  (+ info)

Any treatment for corneal neovascularization with corneal scarring?


I recently found out I have corneal neovascularization, not caused by contacts however, best guess is due to an eye infection. The opthamologist gave me some omnipred and azasite to try to help treat it and said he was "hopeful", though he did state it was fairly bad. He stated that I was not a candidate for corneal transplant because of the high risk of rejection. I wanted to find out if there is any treatment that exists after the blood vessels have drained that are in the cornea, any corrective options that might exist to lessen the visual blurring I am experiencing due to this, and if no such treatment exists, any lines of research (specific if possible) that may seem to be promising in studies in treatment of my conditions. Any information you deem helpful would be much appreciated.
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no treatment other than transplant. no research in this field that i know about.

steroids is an excellent management IMO, as these cases are usually inflammatory. we had a case a few months back pretty much exactly as you describe...and we treated him similarly. theres not much else one can do  (+ info)

What's the difference between corneal abrasion and ulcer?


What's the difference between a corneal abrasion and a corneal ulcer?

also, if I use eye drops and my eye becomes super red, is it because the eye drops have become infected with something?
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A corneal abrasion is exactly what it says it is. It occurs when something (a finger nail, a pencil, a stick) mechanically scratches the cornea and removes some of the epithelium that covers the surface. It is not an infection.

A corneal ulcer is an isolated (can be large or small though) area of inflammation related to an infection of the cornea by a pathogen. The most common cause of a corneal ulcer is bacteria, although ulcers can occur associated with other pathogens such a viruses or fungi. These are active infections and should be treated agressively by either antibiotics, antivirals, or antifungals.

As to your last question it depends upon what type eye drop you are talking about. It is possible that you may be allergic to an ingredient in the eye drop. Only way to know for sure what is happening is to go in and let a doc take a look.  (+ info)

What can you tell me about having a corneal transplant and lens implant during the same procedure?


A 26-year-old employee of mine has asked for medical leave while he has a "corneal transplant, a lens implant, and possibly a retinal transplant." I have my doubts about his claims regarding these procedures. From what I have researched, retinal transplants are still in the "experimenting on mice" stages, and corneal transplants do not go hand-in-hand with lens implants. I don't want to deny him the time for a legitimate procedure, but we're a very small, four-person operation, and I can't afford for him to take a "vacation" (as he has on other occasions) by using a medical excuse. Twice before he has taken a day off, supposedly to have this done, only to claim the next day that there was a problem with the donor cornea and the procedure had been postponed. I need some expert info on these procedures, please. Thanks.
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The lens and the cornea are occationally replaced at the same time. Retinal transplants are in develpment stages still...

Ask him to get a note from the doctor on an official letter head since you aren't sure about his claims.

Most people are able to get back to work with in 7 days after a corneal transplant, though the actual recovery and healing of the cornea can take upto a year.  (+ info)

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