keratoconus
Topolaser (Topography-Guided Excimer Laser)
Topolaser is an excimer laser treatment planned individually based on the cornea's surface map. Its goal is to correct surface irregularities in the cornea and improve visual quality. It is generally applied together with CXL for stabilization.
Prof. Dr. Efekan Coşkunseven
Ophthalmology · Istanbul
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Quick Answer
Topolaser is an excimer laser application planned individually based on a detailed corneal topography map. It reduces surface irregularities and improves night vision and contact lens tolerance; in keratoconus, it is combined with corneal cross-linking (CXL).
What Is Topolaser?
Topolaser is an excimer laser treatment planned individually based on the cornea’s surface map. Its goal is to correct surface irregularities in the cornea and improve visual quality.
How Does It Work?
- Special topography devices produce a detailed map of the cornea.
- A personalized ablation plan is prepared using computerized simulation.
- The excimer laser is applied to the points where it is needed.
Areas of Use
- Corneal surface irregularity following keratoconus
- Insufficient visual quality after CXL (cross-linking)
- Irregular astigmatism
- Corneal shape disorders after trauma or surgery
Benefits It Provides
- A smoother corneal surface
- Improved night vision
- Reduced glare
- Improved contact lens tolerance
Combination in Keratoconus
In modern protocols, topolaser is applied together with corneal cross-linking (CXL) for stabilization. This combination reduces surface irregularity while biomechanically stabilizing the collagen structure.
Frequently Asked Questions
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Where is topolaser used?
It is used for corneal surface irregularity following keratoconus, insufficient visual quality after CXL, irregular astigmatism, and corneal shape disorders after trauma or surgery.
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Is it applied alone in keratoconus?
In modern protocols, topolaser is applied together with corneal cross-linking (CXL) for stabilization. This combination reduces surface irregularity while biomechanically stabilizing the collagen structure.
Related topics
Treatments often evaluated together
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Keratoconus Treatment
Keratoconus is a progressive eye disease in which the cornea gradually thins and bulges forward into a cone shape over time. Early diagnosis and the choice of an appropriate method (crosslinking/CXL, CAIRS, and intracorneal ring segments) are critical for controlling the disease.
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Corneal Collagen Cross-Linking (CXL / Cross-Linking)
CXL is a method used in keratoconus treatment to increase the structural strength of the cornea in order to halt the progression of the disease. It was first applied in Turkey in 2004 by Prof. Dr. Efekan Coşkunseven.
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Keratoconus Athens Protocol
The Athens Protocol involves performing topography-guided laser (PRK) and cross-linking (CXL) in the same session for keratoconus treatment. It both corrects the cornea and halts the progression of the disease.
Clinic
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