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The new mantra of keratoconic care: Diagnose early, Stop progression, Rehabilitate vision. The following case will demonstrate the ability of corneal collagen crosslinking to stop progression of keratoconus. This case shows the clinical benefits of crosslinking in a twenty-year-old (in the progressive age range) and at the same time how fast the disease can progress if left untreated.

Let’s set the scene:

A 20-year-old male presented with complaints of decreasing vision and difficulty driving at night, his right eye was worse than the left eye. He had seen multiple doctors, had multiple pairs of glasses and daily disposable soft contact lenses, all of which offered little-to-no improvement. He was determined to fix the problem once and for all and arrived for a LASIK consultation.

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John Gelles
Dr. Gelles is the director of the specialty contact lens division at the Cornea and Laser Eye Institute-Hersh Vision Group and the CLEI Center for Keratoconus in Teaneck, New Jersey. Dr. Gelles’ clinical work is dedicated exclusively to specialty contact lenses and surgical co-management with focus on corneal disease (emphasis in keratoconus), ocular surface disease, and post-surgical corneal conditions. Dr. Gelles is also the Chief Emerging Technology Officer at EyeCareLive, where his work involves identifying and developing technologies to be incorporated into the companies eyecare specific telemedicine platforms, which are purpose-built by eyecare professionals for eyecare professionals to strengthen the doctor-patient relationship and improve clinical outcomes. He is a Fellow in the International Academy of Orthokeratology, a Fellow of the Contact Lens Society of America, and a Fellow of the Scleral Lens Education Society. He is a graduate of the Pennsylvania College of Optometry and is an adjunct clinical instructor for State University of New York College of Optometry and New England College of Optometry. Additionally, he is an optometric consultant, active in clinical research, and is involved in multiple academies, societies, and associations.

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