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Corneal demarcation line depth with different accelerated collagen cross-linking protocols
Poster Details
First Author: A.Sherif EGYPT
Co Author(s): A. Osman
Abstract Details
Purpose:
To compare the depth of demarcation line measured by anterior segment OCT one month after collagen cross0linking using different ultraviolet intensities for the management of progressive keratoconus.
Setting:
Rowad Cornea Center, Giza,Egypt
Dar Oyoun eye hospital, Giza ,Egypt
Methods:
Prospective , Comparative and Clinical study, 30 eyes divided randomly into 3 groups:
Group A: 10 eyes underwent CXL using 9Mw/cm2 UVA for 10 minutes
Group B: 10 eyes underwent CXL using 18mW/cm2 for 5 minutes
Group C: 10 eyes underwent CXL using 30mW/cm2 for 4 minutes
In all cases, the epithelium was removed before riboflavin application.
In all cases, Vibex Rapid (0.1% riboflavin & hydroxyl propoxy methyl cellulose ) was used for 10 minutes before UV application.
1 month after surgery all cases were photographed using Optovue anterior segment OCT (Optovue Inc, CA)and the depth of demarcation line was assessed.
Results:
In all cases, the demarcation line could be elicited with Anterior segment OCT one month after surgery.
The mean demarcation line depth was 293± 42 , 279±31 and 261±27µm for groups A,B and C respectively. There were no statistically significant differences between the 3 groups.
Conclusion: Accelerated collagen cross-linking using various UVA intensities is associated with comparable demarcation line depths.
Conclusions:
Accelerated collagen cross-linking using various UVA intensities in keratoconus is associated with comparable demarcation line depths.
Financial Disclosure:
NONE