Customized pachymetric guided epithelial debridement for corneal collagen cross linking.

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Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_7ED5BB757F02
Type
Article: article from journal or magazin.
Publication sub-type
Minutes: analyse of a published work.
Collection
Publications
Institution
Title
Customized pachymetric guided epithelial debridement for corneal collagen cross linking.
Journal
BMC ophthalmology
Author(s)
Kymionis G.D., Diakonis V.F., Coskunseven E., Jankov M., Yoo S.H., Pallikaris I.G.
ISSN
1471-2415 (Electronic)
ISSN-L
1471-2415
Publication state
Published
Issued date
28/08/2009
Peer-reviewed
Oui
Volume
9
Pages
10
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
We describe a modified method for deepitheliazation prior to corneal cross linking (CXL). The technique may overcome the current corneal pachymetric limitation parameter (over 400 microns) that is necessary for the safety of the procedure without affecting the overall benefits.
In a series of two patients, with inferior topographic steepening and regional thinning (less than 400 microns corresponding to the area of corneal steepening), CXL after customized epithelial removal was performed.
There were no intra- or postoperative adverse events seen by the nine month follow up examination. Stabilization of the corneal ectasia was observed up to nine months post-costumized pachymetric-guided epithelial removal.
The technique of customized pachymetric-guided epithelial removal is easy to perform and may overcome the limitations of the preoperative corneal pachymetry expanding the application of the procedure in patients with regional corneal thinning.
Keywords
Collagen/radiation effects, Collagen/ultrastructure, Corneal Diseases/pathology, Corneal Diseases/radiotherapy, Corneal Diseases/surgery, Corneal Stroma/pathology, Corneal Stroma/radiation effects, Corneal Stroma/surgery, Debridement/methods, Epithelium, Corneal/surgery, Humans, Treatment Outcome, Ultraviolet Therapy
Pubmed
Web of science
Open Access
Yes
Create date
01/10/2019 15:47
Last modification date
13/01/2021 7:09
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