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CK (Conductive Keratoplasty)

CK is the first non-laser procedure for farsightedness. It uses the controlled release of (radiowaves) radiofrequency (RF) energy, instead of a laser or scalpel, to reshape the cornea. CK is a safe, minimally invasive alternative procedure to laser for farsighted patients. CK is fast. The procedure is performed in just under 3 minutes, in-office with only topical (eye drop) anesthesia for the convenience and comfort of the patient. Because there is no cutting or removal of tissue involved in the CK procedure, it meets the needs of the risk-adverse farsighted patient who’s been waiting for a safe, less invasive procedure.

How does CK work?

CK uses the controlled release of radiofrequency (RF) energy, instead of a laser, to reshape the cornea. CK is performed using a small probe, thinner than a strand of human hair, that releases radiofrequency (RF) energy. The probe is applied in a circular pattern on the outer cornea to shrink small areas of corneal tissue. This circular shrinkage pattern creates a constrictive band (like the tightening of a belt), increasing the overall curvature of the cornea. The procedure, which takes less than three minutes, is done in-office with only topical anesthesia (eye drops).

The CK procedure is considered painless. You will be aware of a support (speculum), which helps to hold your eye open. The most common sensation that patients experience is a feeling of pressure on the eye. After surgery, there may be some mild discomfort, and many patients experience a foreign-object sensation or a slight “scratchiness” in the eye. This usually subsides within 24 hours of the procedure.

Who is a candidate for CK?

CK is approved for mild to moderate farsightedness (hyperopia) which occurs when the patient’s cornea is too flat or the eye is too short. Farsightedness is a progressive disease, with an average patient age of 55. There are 60 million Americans with farsightedness; as many as 40 million of them could benefit from CK. Farsightedness is most predominant among Baby Boomers, many of whom view glasses as a sign of aging. Yet, consumer research indicates that very few people age 40-60 have even considered laser vision correction surgery, as they tend to be more conservative and risk-adverse than their younger, nearsighted counterparts.

The Symptoms

  • Began needing glasses after age 40
  • Currently wears bifocals
  • Difficulty reading menus, computer screen, the alarm clock, or driving at night.
  • Eye fatigue when reading in poor lighting or at the end of the day.
  • Trouble changing focus from distance to near.
  • Constantly repositions reading material in an attempt to find the right focus.
  • As the first alternative to laser for farsightedness, CK represents a revolutionary option for those patients who thought they’d never be rid of their glasses.
For more information on CK, visit www.refractec.com.



Common Questions





Will my vision improve immediately after surgery?

Patients usually notice an immediate improvement in their vision after the CK procedure. However, it usually takes several weeks for the eyes to adjust to the final level of treatment. Most patients will experience mild fluctuations in their vision after surgery, but few notice it. Any fluctuation will usually subside within a few weeks. Patients who are treated for hyperopia, regardless of the procedure, usually require a longer stabilization period than those treated for myopia.

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How soon can I return to work?

With CK, the majority of patients are able to return to work and other normal activities the day of the procedure. Although recovery is fairly quickly, it is advisable to be careful with your eyes and to avoid any strain. Those whose jobs demand intense clarity of vision (such as dentistry, surgery or computer work) may want to give their eyes some extra rest for several days following the procedure before getting back to work.

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What are the risks and side effects of CK?

Because CK is minimally invasive and extremely precise, the procedure has exhibited very minimal risk and almost no side effects. During the first 24 to 48 hours after CK, you may experience tearing and some discomfort, including a foreign-object sensation in the eyes. You may also experience initial slight over-correction of your vision, which stabilizes during the following weeks. However, because CK doesn’t cut or remove tissue, many of the side effects associated with other vision treatment procedures have not been observed with CK.

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Are there restrictions after having CK?

As with any vision treatment procedure where the cornea is altered, certain precautions should be taken. After the CK procedure, patients should avoid getting contaminated water in their eyes for at least one week. This includes water from swimming pools, spas, lakes and the ocean. When showering or taking baths, patients should keep their eyes closed in order to avoid getting soap and dirty water into their eyes. When exercising, sweat should be kept out of the eyes for at least a week after surgery. Also, patients should avoid rubbing the eyes vigorously for two weeks following the procedure. Females should also avoid applying eye makeup for one week after surgery.

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Will I ever need glasses or contacts again?

The vast majority of patients do not need corrective lenses of any kind after the CK procedure. However, depending on your age and the type of refractive disorder you have, you may need additional vision treatment at some point (surgery, reading glasses or bifocals). This is because your eyes continue to change as you age, and no one can avoid presbyopia, the natural result of aging that occurs when the lens in your eye loses flexibility.

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Can CK treat myopia (nearsightedness)?

CK was designed for hyperopia, or farsightedness, where the cornea requires steepening. CK is not designed to flatten the cornea, the effect required for the treatment of myopia.

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Is CK reversible?

As with most vision treatment procedures, CK is not reversible. Once the procedure has been performed, it is not possible to “remove” its effects. This is an important factor for anyone thinking about surgery to carefully consider. To make sure CK is right for you, seek the advice of your surgeon.

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Why did the FDA approve CK for the “temporary” treatment of hyperopia?

The FDA has recently changed its guidelines for stability because hyperopia is a progressive disease, which means as people age their level of farsightedness will increase – with or without surgical treatment. It’s for this reason that the FDA defines even hyperopic LASIK as temporary [on its Web site]. Clinical data shows CK’s stability is similar to hyperopic LASIK and significantly better than other refractive procedures, like LTK (laser thermal keratoplasty). And, because CK is a minimally invasive procedure it presents a much more attractive option for a future enhancement. Because there’s no cutting or removal of tissue, CK doesn’t carry many of the risks associated with other refractive procedures when repeated.

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Will my health insurance cover the cost of the CK procedure?

Because CK is considered elective surgery (cosmetic), most health insurance plans do not cover it. Financing options are available to make CK more affordable. For more information about financing, ask your eye surgeon.

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Who is CK right for?

CK has been approved for patients with mild to moderate hyperopia (up to +3.00 diopters). The following are some basic criteria you must meet to be considered a good candidate for CK:

  • Be at least 45 years of age.
  • Have no drastic change in vision or eyeglass prescription within the past year.
  • Have no eye conditions such as glaucoma, severe dryness, keratoconus, herpes of the eye, aggressive keloid formation or corneal dystrophy.
  • Have no physical conditions such as diabetes, pregnancy or nursing, and vascular or autoimmune diseases.
To determine if you are a candidate for CK, call to set up a free CK consultation..

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Last Updated: 4/10/2008