Current concepts in crosslinking thin corneas
Autor: | Deshmukh, R., Hafezi, F., Kymionis, G.D., Kling, S., Shah, R., Padmanabhan, P., Sachdev, M.S. |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
genetic structures
sense organs Collagen/pharmacology Cornea/diagnostic imaging Cornea/drug effects Corneal Pachymetry Cross-Linking Reagents/pharmacology Humans Keratoconus/diagnosis Keratoconus/drug therapy Photochemotherapy/methods Photosensitizing Agents/therapeutic use Riboflavin/therapeutic use Ultraviolet Rays Cross-linking keratoconus thin cornea eye diseases |
Zdroj: | Indian journal of ophthalmology, vol. 67, no. 1, pp. 8-15 |
Popis: | Corneal cross-linking (CXL), introduced by Wollensak et al. in 2003, is a minimally invasive procedure to halt the progression of keratoconus. Conventional CXL is recommended in eyes with corneal thickness of at least 400 microns after de-epithelialization to prevent endothelial toxicity. However, most of the keratoconic corneas requiring CXL may not fulfill this preoperative inclusion criterion. Moderate-to-advanced cases are often found to have a pachymetry less than this threshold. There are various modifications to the conventional method to circumvent this issue of CXL thin corneas while avoiding the possible complications. This review is an update on the modifications of conventional CXL for thin corneas. |
Databáze: | OpenAIRE |
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