First Author: I.Isakova RUSSIAN FEDERATION
Co Author(s): I. Remesnikov L. Boriskina H. Blinkova H. Solodkova
Purpose:
to explore the possibility of modified corneal crosslinking (CCL) clinical application in management of keratoconus.
Setting:
: The S.N. Fyodorov Eye Microsurgery Federal State Institution, Volgograd Branch
Methods:
in our clinic crosslinking is performed according to a modified technique which consists of a metered corneal deepithelialization to the depth not exceeding half of epithelial thickness by means of excimer laser ablation on Shwindt Amaris. Further course of the procedure corresponds to conventional practice. There were followed two groups of patients with keratoconus of the II-III degree, 7 persons each: the I group (those, who had classical crosslinking) and the II group, under the study (those, who underwent a modified CCL). Patients’ age averaged 28 years (from 22 to 38 years).
Results:
it was noted that corneal saturation with riboflavin solution was faster achieved in the II group (mean time - 20 min. in comparison to 30 min. in the I group). Complete postsurgical epithelialization was registered on 4th day (in 72-96 hours) in the control group and on the 2nd day (in 36-48 hours) in the studied group. Epithelialization was more even, corneal syndrome was less intense.
Conclusions:
method of keratoconus treatment with a depth metered corneal deepithelialization by means of excimer laser ablation allows optimizing surgical procedure, promotes rehabilitation and reduces risk of fibroplastic changes in postoperative period.
Financial Disclosure:
No
