CK For Astigmatism
Brian S. Boxer Wachler, MD

The 8-minute CK procedure is done in our office. Immediately following the procedure a corneal map is typically taken to assess the level of improvement. If there can be further improvement, additional CK spots are then simply added. Another corneal mapping is performed to confirm that the proper endpoint has been attained. CK is often combined with Intacs®, since CK can provide further improvements to eyesight and supplement the improvement of Intacs® alone. Intacs® and CK are routinely performed on the same day.

Before and after CK combined with Intacs

CK works by using radiofrequency (non-laser) energy that is strategically delivered to the cornea by a small probe. A tiny probe applies heat to the outer cornea at the precise area where astigmatism reduction is needed. The heat causes a local tightening effect against the astigmatism, which can reduce the astigmatism and improve eyesight. Immediate improvement in the cornea shape is noted, as evidenced by the new corneal topography mapping. Potential risk of CK is regression of effect. HOWEVER, that is the reason it’s crucial that CK is combined with Holcomb C3-R® (or performed after it) to reduce CK regression and boost long term results.

Before and after CK combined with Intacs
CK was originally developed for farsightedness and presbyopia, which involved using the probe to create a symmetrical circular pattern to change to the cornea. Our insights into keratoconus has enabled us to understand the principles responsible for the irregular corneal shape that defines keratoconus and how to improve it. CK has been a successful addition to reduce astigmatism and further improve the corneal shape. This has resulted in greater improvements in vision.

NFL Network Broadcaster Amber Theoharis Discusses Her Life-Changing Keratoconus Treatments

Rigid gas permeable contact lensesListen to Jeff’s experience with Intacs® combined with CK that changed his life.


Dr. Brian’s Keratoconus Patient Experience YouTube Channel

To view videos from our “Keratoconus Patient Experience” YouTube Channel – simply click below.

Dr. Brian Boxer Wachler is a recognized Keratoconus expert who offers various advanced keratoconus treatment options for patients experiencing keratoconus symptoms. He performs the Intacs® procedure as well as corneal collagen cross linking, all of which can help the patient avoid having to undergo corneal transplant surgery.

To learn more about Keratoconus causes and the various treatments, please peruse the pages of this website and contact our office to schedule a consultation with Dr. Brian.

Keratoconus is the thinning and bulging of the cornea. Treatments include Intacs®, Holcomb C3-R® cornea collagen cross linking, and if Keratoconus progresses to a serious level, corneal transplantation. Dr. Brian Boxer Wachler is a specialist in Keratoconus evaluation and treatment. Please peruse the pages of this website to learn more about Keratoconus treatments, Keratoconus causes and Keratoconus symptoms, as well as the various treatment options.


Many out-of-town patients would like Dr. Brian to do a complimentary review of their medical records and make a preliminary determination of candidacy. This is useful before planning a trip to Beverly Hills.

Some people’s friends ask them, “Why are you thinking of travelling to Beverly Hills for your eye procedure?” They typically answer with, “I deserve the BEST and I want to go to the BEST doctor!”

These are the three easy steps for your complimentary chart review with Dr. Brian:

  • Along with your last 2 or 3 eye exams, please be sure to include a color copy of your corneal mapping. Color corneal mapping is a very important tool, along with your exam history, to determine your candidacy. The last 2 years of your total eye history will be used to make this preliminary determination.
  • Inside the envelope, please be sure to include a cover sheet with your name address, phone number and email address and the words, “Keratoconus Record Review”, so that we may optimize communication with you.
  • Enclose with your letter a copy of your records.

Mail to:

Boxer Wachler Vision Institute
Keratoconus Record Review
465 N. Roxbury Drive, Suite 902
Beverly Hills, CA 90210

Or you can scan your records and email them to

Dr. Brian’s Keratoconus Specialist will contact you to discuss the review.

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