Detect progression
Clinical examination, refraction and corneal topography or tomography are compared over time.
Corneal specialist · Haifa and Akko, Israel
Diagnosis, assessment of progression and individualized visual rehabilitation with Dr. Adel Barbara—an ophthalmologist whose clinical and scientific work has focused on keratoconus for more than three decades.

A precise starting point
Keratoconus changes the shape and biomechanical strength of the cornea. Good care begins by separating three questions: Is the condition progressing? Does the cornea need stabilization? What is the most appropriate way to improve vision?
Clinical examination, refraction and corneal topography or tomography are compared over time.
When progression is documented, corneal cross-linking may be considered to strengthen the cornea.
Glasses, specialist lenses or selected surgical options are considered according to the individual eye.
Diagnosis
Keratoconus often begins in adolescence or early adulthood. A specialist evaluation is particularly important when prescriptions change frequently, vision is distorted, or astigmatism becomes increasingly irregular.
Treatment options
No single treatment fits every patient. Age, progression, corneal thickness and geometry, visual function and contact-lens tolerance all shape the decision.
Repeat imaging can distinguish a stable cornea from one that is changing and needs timely intervention.
Designed primarily to stabilize progressive keratoconus; it is not the same as a vision-correction procedure.
Specialist soft, rigid, hybrid or scleral lenses may improve vision without changing the corneal tissue.
Synthetic intracorneal ring segments may regularize corneal shape in selected patients and improve functional vision.
Allogenic ring segments made from donor corneal tissue are one option for visual rehabilitation in carefully selected eyes.
Reserved for advanced cases when other means cannot provide adequate visual rehabilitation.
Dr. Adel Barbara
Dr. Barbara combines patient care with scientific publishing, surgical teaching and international collaboration. His approach considers disease stability and visual rehabilitation as separate decisions, then builds a plan around the patient.
More than three decades of corneal and refractive clinical work.
Early adoption of Intacs for keratoconus in Israel.
Among the pioneers introducing and teaching cross-linking in Israel.
Introduced corneal allogenic ring-segment surgery in Israel.
Scientific work
Frequently asked questions
There is no single best procedure for every patient. The plan depends on progression, vision, corneal thickness and shape, age, contact-lens tolerance and personal needs.
Its main purpose is to stabilize a cornea that is progressing. Visual rehabilitation is a separate goal and may require glasses, specialist lenses or a selected surgical option.
CAIRS uses allogenic segments made from donor corneal tissue. In selected eyes, they may be considered to regularize corneal shape and improve functional vision. Suitability requires a complete examination.
Standard laser vision correction is generally unsuitable when keratoconus is present because it removes corneal tissue. Any selected combined approach requires specialist assessment.
Consultation in Israel
Appointments and second opinions
WhatsApp +972 52 850 0063 ↗Telephone 052-850-0063 ↗adelbarbara@yahoo.com ↗HaifaThe information on this page is general and does not replace an eye examination or individualized medical advice.