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Prophylactic corneal crosslinking in myopic small-incision lenticule extraction - Long-term visual and refractive outcomes
PURPOSE: To analyze the efficacy, safety, predictability, and stability in myopic and astigmatic small-incision lenticule extraction (SMILE) with simultaneous prophylactic corneal crosslinking (CXL) in thin corneas. METHODS: A total of 48 eyes from 24 patients who underwent myopic and astigmatism SM...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8917579/ https://www.ncbi.nlm.nih.gov/pubmed/34937212 http://dx.doi.org/10.4103/ijo.IJO_810_21 |
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author | Sánchez-González, José-María Rocha-de-Lossada, Carlos Borroni, Davide De-Hita-Cantalejo, Concepción Alonso-Aliste, Federico |
author_facet | Sánchez-González, José-María Rocha-de-Lossada, Carlos Borroni, Davide De-Hita-Cantalejo, Concepción Alonso-Aliste, Federico |
author_sort | Sánchez-González, José-María |
collection | PubMed |
description | PURPOSE: To analyze the efficacy, safety, predictability, and stability in myopic and astigmatic small-incision lenticule extraction (SMILE) with simultaneous prophylactic corneal crosslinking (CXL) in thin corneas. METHODS: A total of 48 eyes from 24 patients who underwent myopic and astigmatism SMILE with simultaneous prophylactic CXL were included in this retrospective study. All patients had a 24-month follow-up. A femtosecond laser was performed with VisuMax (Carl Zeiss Meditec). CXL treatment was applied when the predicted stromal thickness was less than 330 μm. RESULTS: The patients’ mean age was 31.58 ± 6.23 years. The previous mean spherical equivalent was − 6.85 ± 1.80 (−9.75 to − 2.00) D. The postoperative mean spherical equivalent was − 0.50 ± 0.26 (−1.00 to + 0.25) D; 60% of the eyes had 20/20 or better; 19% lost one line; 58% were within ± 0.50 D; and 8.3% of the eyes changed 0.50 D or more between 3 and 24 months. CONCLUSION: Prophylactic CXL with simultaneous SMILE for myopia and astigmatism femtosecond laser surgery technique appears to be partially effective, safe, predictable, and stable after 24 months of follow-up. |
format | Online Article Text |
id | pubmed-8917579 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-89175792022-03-13 Prophylactic corneal crosslinking in myopic small-incision lenticule extraction - Long-term visual and refractive outcomes Sánchez-González, José-María Rocha-de-Lossada, Carlos Borroni, Davide De-Hita-Cantalejo, Concepción Alonso-Aliste, Federico Indian J Ophthalmol Original Article PURPOSE: To analyze the efficacy, safety, predictability, and stability in myopic and astigmatic small-incision lenticule extraction (SMILE) with simultaneous prophylactic corneal crosslinking (CXL) in thin corneas. METHODS: A total of 48 eyes from 24 patients who underwent myopic and astigmatism SMILE with simultaneous prophylactic CXL were included in this retrospective study. All patients had a 24-month follow-up. A femtosecond laser was performed with VisuMax (Carl Zeiss Meditec). CXL treatment was applied when the predicted stromal thickness was less than 330 μm. RESULTS: The patients’ mean age was 31.58 ± 6.23 years. The previous mean spherical equivalent was − 6.85 ± 1.80 (−9.75 to − 2.00) D. The postoperative mean spherical equivalent was − 0.50 ± 0.26 (−1.00 to + 0.25) D; 60% of the eyes had 20/20 or better; 19% lost one line; 58% were within ± 0.50 D; and 8.3% of the eyes changed 0.50 D or more between 3 and 24 months. CONCLUSION: Prophylactic CXL with simultaneous SMILE for myopia and astigmatism femtosecond laser surgery technique appears to be partially effective, safe, predictable, and stable after 24 months of follow-up. Wolters Kluwer - Medknow 2022-01 2021-12-23 /pmc/articles/PMC8917579/ /pubmed/34937212 http://dx.doi.org/10.4103/ijo.IJO_810_21 Text en Copyright: © 2021 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 4.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Sánchez-González, José-María Rocha-de-Lossada, Carlos Borroni, Davide De-Hita-Cantalejo, Concepción Alonso-Aliste, Federico Prophylactic corneal crosslinking in myopic small-incision lenticule extraction - Long-term visual and refractive outcomes |
title | Prophylactic corneal crosslinking in myopic small-incision lenticule extraction - Long-term visual and refractive outcomes |
title_full | Prophylactic corneal crosslinking in myopic small-incision lenticule extraction - Long-term visual and refractive outcomes |
title_fullStr | Prophylactic corneal crosslinking in myopic small-incision lenticule extraction - Long-term visual and refractive outcomes |
title_full_unstemmed | Prophylactic corneal crosslinking in myopic small-incision lenticule extraction - Long-term visual and refractive outcomes |
title_short | Prophylactic corneal crosslinking in myopic small-incision lenticule extraction - Long-term visual and refractive outcomes |
title_sort | prophylactic corneal crosslinking in myopic small-incision lenticule extraction - long-term visual and refractive outcomes |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8917579/ https://www.ncbi.nlm.nih.gov/pubmed/34937212 http://dx.doi.org/10.4103/ijo.IJO_810_21 |
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