C2M™: Corneal Contour Modification.
C2M advanced surgical services provide patients effective and low interventional treatments for nearsightedness, farsightedness, astigmatism, keratoconus, corneal scars, radial keratotomy, and complications from prior corneal surgeries like LASIK, SMILE, PRK, and PTK. The C2M surgical services were made possible by Dr. Arun C. Gulani, whose over 3 decades of experience allowed him to pioneer a technique spectrum aimed at modifying the curvature of the cornea (Corneal Contour Modification) to address a wide range of vision disorders using individualized techniques and technologies C2M surgical services have revolutionized and redefined possibilities in corneal surgery, setting a new standard in the field of vision correction.
Precision in Treating Virgin Refractive Errors and Complex Corneas
C2M surgical services involve reshaping the cornea to correct corneal shape anomalies (including keratoconus, corneal ectasia, and corneal scars) to the desired curvature, enabling light to focus correctly onto the retina and thereby enhancing visual acuity. C2M surgical services provide patients a tailored solution for conditions like myopia, hyperopia, and astigmatism based on the unique visual needs and corneal anatomy of each patient.
C2M surgical services are versatile and able address complex corneal conditions often considered untreatable. Patients with keratoconus—a condition where the cornea thins and bulges into a cone-like shape—can experience significant visual improvement through C2M surgical services. Patients with corneal scars, which often result from trauma, infection, or previous surgeries can also receive improved clarity and reduced visual distortions through C2M surgical services.
Reversing Complications from Corneal Refractive Surgeries
Many patients travel from all over the nation and world to Dr. Gulani after experiencing suboptimal outcomes or complications from prior refractive surgeries elsewhere, such as LASIK, SMILE, or PRK, etc. These procedures, while effective for many, can sometimes lead to issues like corneal irregularities, scarring, or worsened vision. With C2M surgical services, these complications can be reversed to restore the patient’s vision.
Corneal Collagen Cross-Linking: Ensuring Stability and Longevity
C2M surgical services often incorporate Corneal Collagen Cross-Linking (CXL), which strengthens the cornea by increasing the collagen fibers’ chemical bonds. CXL is particularly beneficial for conditions like keratoconus and corneal ectasia, for example post Lasik surgery, where the cornea is naturally weaker and more prone to distortion. C2M surgical services incorporation of CXL not only modifies the corneal curvature but also ‘permanizes’ the results, ensuring long-term stability and durability. With C2M surgical services, patients get solutions not only for normal refractive errors but also abnormal and highly irregular corneas, providing vision outcomes that were previously thought impossible.
C2M surgical services are aimed not just at anatomical correction but at achieving the best possible visual outcome. With C2M, the patient’s lifestyle, visual goals, and even aesthetic endpoints are considered when planning a surgical strategy. By treating each eye uniquely, C2M surgical services give patients the opportunity to transformcomplex and irregular corneas into visually functional eyes, effectively turning vision challenges into solutions.
C2M surgical services are constantly evolving and improving, with Dr. Arun Gulani designing techniques to further modify that achieved corneal curvature post-surgery, guided by the patient’s subjective visual response while correlating with refraction, corneal topography, tomography, OCT and higher order polynomials, to an exact and final BVP (Best Vision Potential).
Advanced Techniques in Corneal Modification
The C2M surgical services provide exceptional results, and do so by incorproating various specialized techniques tailored to each patient’s condition:
- LaZrPlastique®: This no-blade, no-cut, and no-flap laser vision surgery is Dr. Gulani’s revolutionary approach to refractive correction. Unlike traditional LASIK, LaZrPlastique™ does not involve cutting the cornea or making a corneal flap, making it particularly beneficial for patients with complex corneal shapes or previous surgical complications. The procedure is precise and minimally invasive, aiming to reshape the cornea while preserving its natural strength.
https://www.gulanivision.com/lazrplastique/
- Corneoplastique®: A concept developed by Dr. Gulani, Corneoplastique™ is a technique that uses artistic principles combined with surgical precision to modify the cornea for refractive improvement. It involves using structural laser and non-laser techniques, to address the corneal shape, addressing scars, irregularities, and refractive errors simultaneously. This technique has expanded the scope of corneal surgery to include visual rehabilitation for even the most challenging cases.
https://www.gulanivision.com/lasik-eye-surgery/corneoplastique/
- Lamellar Corneal Techniques: For patients with deeper corneal issues, lamellar techniques involve selectively removing and replacing layers of the cornea. This allows for targeted treatment of corneal diseases, such as keratoconus and deep corneal scars, including posterior corneal pathologies without compromising the overall structural integrity of the eye. By using these techniques, Dr. Gulani ensures a balance between vision improvement and corneal health.
https://www.gulanivision.com/corneal-transplant/
- Corneal Implants: In cases where corneal reshaping alone may not suffice, Dr. Gulani incorporates corneal implants like Intacs. These ring segments are placed within the corneal tissue to flatten or steepen the corneal curvature, thereby improving the refractive outcome. Intacs are especially effective in treating keratoconus and corneal ectasia (like Lasik complications etc) and can be used in conjunction with other techniques like CXL to permanize results.
https://www.gulanivision.com/keratoconus/intacs/
- Corneal Collagen Crosslinking: Crosslinking allows the collagen fibers in the cornea to bond and strengthen. Dr.Gulani uses collagen crosslinking for the cornea before (in fluctuating cases) or after (post C2M), to permanize and finalize the modified contour.
https://www.gulanivision.com/keratoconus/collagen-crosslinking-cxl/
Additionally, these techniques and technologies can be combined and or staged, to address extreme cases while manipulating refractive optics for final corneal contour to achieve each patient’s Best Vision Potential (BVP).
A Comprehensive Solution for Vision Excellence
C2M surgical services go beyond traditional refractive surgery by incorporating an array of advanced techniques and a personalized treatment strategy for each eye. The comprehensive C2M service, rooted in a refractive mindset, provides solutions to patients looking to correct simple to highly complex corneal conditions, and gives hope to patients who may have been told that nothing more could be done. C2M surgical services continue to push the boundaries of what is possible in eye surgery, allowing patients to experience life with clear and uncompromised vision.
For more detailed information about C2M and Dr. Gulani’s underlying techniques and patient success stories, visit (https://www.gulanivision.com).
