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A New Division of Warrens Eye Care Centre:

Corneal Services Barbados (CSB) is a new division of Warrens Eye Care Centre, specializing in corneal treatments and servicing Barbados and the wider Caribbean.  We are pleased to announce the addition of a number of surgical services to the traditional corneal transplants (lamellar and penetrating) and amniotic membrane these new services include:

  • Corneal Collagen Cross-Linking

  • Microkeratome-assisted keratoplasty​

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Cross-linking (CXL) of the cornea is a new curative approach to increase the mechanical stability of corneal tissue. The aim of this treatment is to create additional chemical bonds inside the corneal stroma by means of a highly localized photopolymerization.


The indications for cross-linking are corneal ectatic disorders such as keratoconus and pellucid marginal degeneration, iatrogenic keratectasia after refractive lamellar surgery, and corneal melting that is not responding to conventional therapy​



Corneal cross-linking (CXL) is considered to be a safe procedure, provided

the recommended safeguards are observed.​

Minimum corneal thickness has to be 400 µ after removal of the epithelium. This is intended to protect the corneal endothelium from UV-A radiation. A 400 µ cornea soaked with riboflavin absorbs about 95% of the total radiation so that only a small amount reaches the endothelium.​

Up until today, no sight-threatening side effects have been reported.

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