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Corneal Collagen Cross-Linking Mushroom Shape Demarcation Line Profile After Limited Bowman’s Membrane Removal by Phototherapeutic Keratectomy

PURPOSE : To report a corneal collagen cross-linking (CXL) mushroom shape demarcation line profile after limited Bowman’s membrane removal by phototherapeutic keratectomy (PTK). METHODS : Case report. RESULTS : A twenty-one-year-old male with progressive keratoconus underwent mechanical epithelial d...

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Detalles Bibliográficos
Autores principales: Kymionis, George D, Grentzelos, Michael A, Klados, Nektarios E, Xanthopoulou, Niki A, Paraskevopoulos, Theodore A, Detorakis, Efstathios T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4348732/
https://www.ncbi.nlm.nih.gov/pubmed/25763117
http://dx.doi.org/10.2174/1874364101509010017
Descripción
Sumario:PURPOSE : To report a corneal collagen cross-linking (CXL) mushroom shape demarcation line profile after limited Bowman’s membrane removal by phototherapeutic keratectomy (PTK). METHODS : Case report. RESULTS : A twenty-one-year-old male with progressive keratoconus underwent mechanical epithelial debridement (at an 8.5 mm zone) followed by PTK (at a 5.0 mm zone and in a 10 μm depth) and CXL. No intra- or early postoperative complications were found. Evaluation of the corneal stromal demarcation line depth using anterior segment optical coherence tomography revealed a mushroom shape profile. CONCLUSION : It seems that removal of the Bowman’s layer leads to greater depth of the corneal stromal demarcation line.