Photorefractive intrastromal corneal crosslinking for the treatment of myopic refractive errors: Six-month interim findings

Autor: Matthias Elling, H. Burkhard Dick, Inga Kersten-Gomez
Rok vydání: 2017
Předmět:
Zdroj: Journal of Cataract and Refractive Surgery. 43:789-795
ISSN: 0886-3350
DOI: 10.1016/j.jcrs.2017.03.036
Popis: To evaluate the safety and efficacy of photorefractive intrastromal corneal crosslinking (CXL) in low myopia.Ruhr University Eye Hospital, Bochum, Germany.Prospective case series.Healthy eyes with myopia or myopic astigmatism had photorefractive intrastromal CXL using the Mosaic system to apply ultraviolet-A (UVA) 365 nm (30 mW/cmTwenty-six eyes of 14 patients with a mean age of 30.8 years ± 9.3 (SD) were included. There were statistically significant improvements in UDVA 1, 3, and 6 months postoperatively (all P .001). A significant improvement in CDVA was observed (P = .02). Improvements in the mean manifest sphere and MRSE versus baseline were noted at all visits (P .001), with a mean change of 0.99 ± 0.47 diopter (D) and 0.97 ± 0.48 D, respectively, by 6 months postoperatively. Significant reductions in corneal curvature versus baseline occurred at all follow-up visits (all P .05). At 1 month, there were no significant changes in the endothelial cell density (P = .282) or number of cells (P = .069). No safety issues or complications were reported.The findings show that patterned CXL using a custom CXL system is safe and effective for reducing myopic refractive error.
Databáze: OpenAIRE