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International Ophthalmology

Erschienen in:

10.02.2018 | Original Paper

Results of ethanol-assisted epithelium-on corneal cross-linking with and without intrastromal corneal ring implantation

verfasst von: Orhan Ayar, Orkun Muftuoglu, Mehmet Orcun Akdemir, Mehmet Cuneyt Ozmen

Erschienen in: International Ophthalmology | Ausgabe 3/2019

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Abstract

Purpose

To evaluate the topographic, refractive, and pachymetric changes after ethanol-assisted transepithelial corneal cross-linking (CXL) to stabilize progression of keratoconus (KC).

Patients and methods

This study retrospectively evaluated the long-term topographic, refractive, and pachymetric changes in patients diagnosed with KC who underwent corneal cross-linking and/or intrastromal corneal ring segment (ICRS) implantation. The subjects were divided into three groups, corresponding to eyes treated with CXL alone (group 1), CXL and ICRS at the same time (group 2), and CXL after ICRS implantation (group 3). Corrected visual acuity and refraction, steep keratometry (SteepK) values, steepest keratometry reading on sagittal curvature map, and corneal thickness were recorded preoperatively and at each visit. Changes between measurements were assessed during follow-up.

Results

Corrected distant visual acuity (CDVA) values improved in all groups compared with baseline, but the differences were not statistically significant except for the first year (p > 0.05). In groups 1 and 3, SteepK values did not change statistically significantly during the entire follow-up (p > 0.05). In group 2, SteepK values statistically significantly decreased at all follow-up examinations compared with baseline, determined as the first month after ICRS implantation (p < 0.05). Complication rates were acceptable without any need for surgical intervention.

Conclusions

Single-session ethanol-assisted transepithelial CXL with or without ICRS implantation was a safe and effective procedure to halt progression of KC.

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Titel: Results of ethanol-assisted epithelium-on corneal cross-linking with and without intrastromal corneal ring implantation
verfasst von: Orhan Ayar
Orkun Muftuoglu
Mehmet Orcun Akdemir
Mehmet Cuneyt Ozmen
Publikationsdatum: 10.02.2018
Verlag: Springer Netherlands
Erschienen in: International Ophthalmology / Ausgabe 3/2019
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-018-0858-6

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Springer Medizin

Results of ethanol-assisted epithelium-on corneal cross-linking with and without intrastromal corneal ring implantation

Abstract

Purpose

Patients and methods

Results

Conclusions

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Operative Therapie und Keimnachweis bei endogener Endophthalmitis

Bakterielle endogene Endophthalmitis

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Springer Medizin

Abstract

Purpose

Patients and methods

Results

Conclusions

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