Early epithelial complications of accelerated trans-epithelial corneal crosslinking in treatment of keratoconus: a case series.

Autor: Chow SSW; Department of Ophthalmology, Grantham Hospital, Hong Kong, Hong Kong, SAR., Chan TCY; Department of Ophthalmology and Visual Sciences, Chinese University of Hong Kong, Shatin, Hong Kong, SAR., Wong IYH; Department of Ophthalmology, The University of Hong Kong, Room 301, 3/F, Block B, Cyberport 4, Hong Kong, Hong Kong, SAR., Fan MCY; Department of Ophthalmology, Grantham Hospital, Hong Kong, Hong Kong, SAR., Lai JSM; Department of Ophthalmology, The University of Hong Kong, Room 301, 3/F, Block B, Cyberport 4, Hong Kong, Hong Kong, SAR., Ng ALK; Department of Ophthalmology, The University of Hong Kong, Room 301, 3/F, Block B, Cyberport 4, Hong Kong, Hong Kong, SAR. nlk008@hku.hk.
Jazyk: angličtina
Zdroj: International ophthalmology [Int Ophthalmol] 2018 Dec; Vol. 38 (6), pp. 2635-2638. Date of Electronic Publication: 2017 Oct 10.
DOI: 10.1007/s10792-017-0734-9
Abstrakt: Background: To report a case series of early postoperative complications following combined accelerated corneal crosslinking (CXL) and trans-epithelial technique in keratoconus.
Case Presentations: Eleven eyes underwent accelerated trans-epithelial CXL (18 mW/cm 2 for 5 min). Seven eyes (64%) developed complications in the first week postoperatively. Five eyes had large epithelial defects, and two eyes were complicated with diffuse punctate epithelial erosions. Early transient stromal haze was seen in eyes with epithelial complications. Anterior segment optical coherence tomography showed a faint demarcation line in six eyes (55%) with epithelial complications.
Conclusion: A significant number of eyes developed epithelial complications shortly after combined accelerated trans-epithelial CXL, which defeated the benefits of leaving the epithelium intact.
Databáze: MEDLINE
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