Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Clinical outcomes of cross-linked lenticule insertion followed by customised keratoablation (CLICK) in the management of keratoconus

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Session Details

Session Title: Presented Poster Session: Cross-linking

Session Date/Time: Sunday 11/09/2016 | 09:30-11:00

Paper Time: 10:30

Venue: Poster Village: Pod 3

First Author: : R.Fogla INDIA

Co Author(s): :    G. Shah              

Abstract Details


To describe clinical outcomes of a new innovative technique – Crosslinked Lenticule Insertion followed by Customised Keratoablation (CLICK) in the management of keratoconus


Cornea Clinic, Apollo Hospitals, Hyderabad, INDIA


3 eyes of 3 patients, (M:F=1:2) mean age 19.6 years with moderate keratoconus who were contact lens intolerant, were included. 9mm diameter stromal pocket created at 200 microns depth using femtosecond laser, followed by insertion of 8mm diameter stromal lenticule of 100 microns via 5mm opening in cornea. Bowman's layer was included in donor lenticule which was prepared using femtosecond laser & cross linked prior to insertion (riboflavin soakage 30 mins, followed by UVA exposure 9mW/cm2 for 10 mins). 3 months later, topography guided surface ablation combined with cross linking performed to reduce surface irregularity & further strengthen the cornea.


All eyes completed 6 months follow up. Average UCVA & BSCVA improved from 5/60 & 6/18 preoperatively to 6/60 & 6/12 postoperatively after lenticule insertion and 6/24 & 6/9 after customised surface ablation. Average keratometry values 51.38 D preop, 51.3D post lenticule & 47.9D post surface ablation. Average pachymetry values increased from 458 microns preop to 580 microns post lenticule insertion, & remained stable at 485 microns post surface ablation. All patients appreciated improvement in quality of vision. No adverse events were noted, and none of the eyes showed evidence of progression.


CLICK procedure seems to work by improving corneal thickness using crosslinked donor corneal lenticule & stabilise progression. Sequential customised surface ablation combined with corneal crosslinking also helps improve visual acuity without any adverse events.

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