Posters

Keratoconus in paediatric age group: is collagen cross-linking the way to go?

Poster Details

First Author: M.Balyan INDIA

Co Author(s):    C. Malhotra   G. Gupta   A. Jurangal   A. Jain           

Abstract Details

Purpose:

To present the results of safety and efficacy of corneal collagen cross-linking (CXL) in the treatment of keratoconus in paediatric patients

Setting:

Tertiary eye care center

Methods:

This is a retrospective, observational case series of 50 eyes of 44 patients (aged 16 years or younger) with progressive keratoconus who underwent CXL by any of these methods and had completed at least 6 months of follow up - Standard epithelium-off CXL was performed in 31 eyes, contact lens assisted CXL in 16 eyes and transepithelial CXL in 3 eyes. Principal outcomes included corrected distance visual acuity (CDVA), mean refractive spherical equivalent (MRSE), and topography-derived outcomes of maximum and average keratometry (K).

Results:

37 of 50 eyes showed stabilisation of disease and 10 eyes showed regression. Mean CDVA from 0.65 ± 0.22 to 0.35 ± 0.15 logMAR (P=.003). Mean change in maximum Keratometry was noted to be significant (1.01 ± 2.40 diopters) (P=.004). MRSE remained stable (preoperative MRSE = -4.29 D, SD = 4.04, and postoperative MRSE = -4.53 D, SD = 4.07, P = 0.31). No significant complications were noted.

Conclusions:

Corneal collagen cross-linking is an effective treatment option for progressive keratoconus in paediatric patients. The improvement in terms of topographic and visual outcomes is comparable to the results seen in adult population.

Financial Disclosure:

None