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Three-Year Outcomes of Cross-Linking PLUS (Combined Cross-Linking with Femtosecond Laser Intracorneal Ring Segments Implantation) for Management of Keratoconus
PURPOSE: To analyze the results of three-year outcomes of combined epithelium-on cross-linking with femtosecond laser ICRS (cross-linking PLUS) for keratoconus management. DESIGN: A retrospective multicenter clinical study. METHODS: 43 eyes of 38 patients were subjected to preoperative and postopera...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Hindawi
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5822772/ https://www.ncbi.nlm.nih.gov/pubmed/29576880 http://dx.doi.org/10.1155/2018/6907573 |
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author | Saleem, Mohammed Iqbal Hafez Ibrahim Elzembely, Hosam A. AboZaid, Mortada Ahmed Elagouz, Mohammed Saeed, Ahmed Mohamed Mohammed, Osama Ali Kamel, Ahmed Gad |
author_facet | Saleem, Mohammed Iqbal Hafez Ibrahim Elzembely, Hosam A. AboZaid, Mortada Ahmed Elagouz, Mohammed Saeed, Ahmed Mohamed Mohammed, Osama Ali Kamel, Ahmed Gad |
author_sort | Saleem, Mohammed Iqbal Hafez |
collection | PubMed |
description | PURPOSE: To analyze the results of three-year outcomes of combined epithelium-on cross-linking with femtosecond laser ICRS (cross-linking PLUS) for keratoconus management. DESIGN: A retrospective multicenter clinical study. METHODS: 43 eyes of 38 patients were subjected to preoperative and postoperative UCVA, BCVA, refraction, Pentacam pachymetry, and keratometry examinations at 3-, 6-, 12-, 24-, and 36-month follow-up period. RESULTS: The preoperative and postoperative mean UCVA was 1.30 ± 0.48 (logMAR ± SD) and 0.82 ± 0.22 respectively. The preoperative and postoperative mean BCVA was 0.90 ± 0.40 and 0.60 ± 0.30, respectively. The preoperative and postoperative mean K average was 50.63 ± 0.87 (D ± SD) and 45.56 ± 0.98, respectively. The preoperative and postoperative mean pachymetry was 471 ± 92.36 (μm ± SD) and 423 ± 39.58, respectively. The preoperative and postoperative mean astigmatism was 7.55 ± 1.75 and 3.39 ± 1.26, respectively. One eye showed ICRS edge exposure while 6 eyes showed progression of keratoconus. CONCLUSION: CXL PLUS was proved to be a successful procedure to halt progression (mainly by CXL) and to correct the refractive status of the keratoconic eye (mainly by ICRS). CXL PLUS performed a synergistic action correcting and maintaining the correction of both myopic and astigmatic components of keratoconus. |
format | Online Article Text |
id | pubmed-5822772 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-58227722018-03-25 Three-Year Outcomes of Cross-Linking PLUS (Combined Cross-Linking with Femtosecond Laser Intracorneal Ring Segments Implantation) for Management of Keratoconus Saleem, Mohammed Iqbal Hafez Ibrahim Elzembely, Hosam A. AboZaid, Mortada Ahmed Elagouz, Mohammed Saeed, Ahmed Mohamed Mohammed, Osama Ali Kamel, Ahmed Gad J Ophthalmol Clinical Study PURPOSE: To analyze the results of three-year outcomes of combined epithelium-on cross-linking with femtosecond laser ICRS (cross-linking PLUS) for keratoconus management. DESIGN: A retrospective multicenter clinical study. METHODS: 43 eyes of 38 patients were subjected to preoperative and postoperative UCVA, BCVA, refraction, Pentacam pachymetry, and keratometry examinations at 3-, 6-, 12-, 24-, and 36-month follow-up period. RESULTS: The preoperative and postoperative mean UCVA was 1.30 ± 0.48 (logMAR ± SD) and 0.82 ± 0.22 respectively. The preoperative and postoperative mean BCVA was 0.90 ± 0.40 and 0.60 ± 0.30, respectively. The preoperative and postoperative mean K average was 50.63 ± 0.87 (D ± SD) and 45.56 ± 0.98, respectively. The preoperative and postoperative mean pachymetry was 471 ± 92.36 (μm ± SD) and 423 ± 39.58, respectively. The preoperative and postoperative mean astigmatism was 7.55 ± 1.75 and 3.39 ± 1.26, respectively. One eye showed ICRS edge exposure while 6 eyes showed progression of keratoconus. CONCLUSION: CXL PLUS was proved to be a successful procedure to halt progression (mainly by CXL) and to correct the refractive status of the keratoconic eye (mainly by ICRS). CXL PLUS performed a synergistic action correcting and maintaining the correction of both myopic and astigmatic components of keratoconus. Hindawi 2018-01-17 /pmc/articles/PMC5822772/ /pubmed/29576880 http://dx.doi.org/10.1155/2018/6907573 Text en Copyright © 2018 Mohammed Iqbal Hafez Saleem et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Saleem, Mohammed Iqbal Hafez Ibrahim Elzembely, Hosam A. AboZaid, Mortada Ahmed Elagouz, Mohammed Saeed, Ahmed Mohamed Mohammed, Osama Ali Kamel, Ahmed Gad Three-Year Outcomes of Cross-Linking PLUS (Combined Cross-Linking with Femtosecond Laser Intracorneal Ring Segments Implantation) for Management of Keratoconus |
title | Three-Year Outcomes of Cross-Linking PLUS (Combined Cross-Linking with Femtosecond Laser Intracorneal Ring Segments Implantation) for Management of Keratoconus |
title_full | Three-Year Outcomes of Cross-Linking PLUS (Combined Cross-Linking with Femtosecond Laser Intracorneal Ring Segments Implantation) for Management of Keratoconus |
title_fullStr | Three-Year Outcomes of Cross-Linking PLUS (Combined Cross-Linking with Femtosecond Laser Intracorneal Ring Segments Implantation) for Management of Keratoconus |
title_full_unstemmed | Three-Year Outcomes of Cross-Linking PLUS (Combined Cross-Linking with Femtosecond Laser Intracorneal Ring Segments Implantation) for Management of Keratoconus |
title_short | Three-Year Outcomes of Cross-Linking PLUS (Combined Cross-Linking with Femtosecond Laser Intracorneal Ring Segments Implantation) for Management of Keratoconus |
title_sort | three-year outcomes of cross-linking plus (combined cross-linking with femtosecond laser intracorneal ring segments implantation) for management of keratoconus |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5822772/ https://www.ncbi.nlm.nih.gov/pubmed/29576880 http://dx.doi.org/10.1155/2018/6907573 |
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