To demonstrate the opportunity to do a collagen cross-linking (CCL) in pediatric case with evolutive keratoconus

Poster Details

First Author: J.Blondel SWITZERLAND

Co Author(s):                  

Abstract Details

Purpose:

Case study about a young 16 years-old boy. We diagnosed a bilateral and asymmetric keratoconus since 2007.

Setting:

The best corrected visual acuity was 20/40 in right eye and 36/40 in left eye. The right eye showed an evolution of asymmetric astigmatism and we performed CCL in 2009, August. After alcohol desepithelialization of epithelium, we apply riboflavin during 30 minutes then we apply BSS* to rehydrate and riboflavin and UV-A during 30 minutes. At the end, we put a contact lens and gave classical treatment.

Methods:

We will show the stability of the right cornea with Pentacam* and Orbscan* topographies. Unfortunately, between 2010, August and 2011, June, the left keratoconus increased and a CCL has been scheduled in August, 2011, with the same protocol.

Results:

We will show the stability of the right cornea with Pentacam* and Orbscan* topographies. Unfortunately, between 2010, August and 2011, June, the left keratoconus increased and a CCL treatment has been scheduled in August, 2011, with the same protocol.

Conclusions:

In keratoconus pediatrics cases, contact lens intolerant, the CCL is an interesting alternative to avoid corneal graft. And it could be necessary to treat the controlateral eye because the probability of evolution is important. FINANCIAL DISCLOSURE?: No