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Collagen cross-linking and cataract surgery in patients with keratoconus

Poster Details

First Author: L.Spadea ITALY

Co Author(s):    S. Salvatore   E. Vingolo           

Abstract Details



Purpose:

To evaluate the visual and topographic outcomes in patients with high-myopia, progressive keratoconus and cataract in whom corneal collagen cross-linking (CXL) and phacoemulsification with intraocular lens (IOL) implantation was used.

Setting:

University of Rome 'La Sapienza', Department of Medical-Surgical Sciences and Biotechnology

Methods:

Two patients, a 50-year-old man and a 54 - year-old woman with high-myopia (Spherical Equivalent greater than -18D), cataract and progressive keratoconus in both eyes were evaluated. Both patients were contact lens wearers. Both patients underwent standard CXL and phacoemulsification with IOL implantation in both eyes. Uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) and videokeratoscopy pattern were evaluated.

Results:

In both patients UDVA and CDVA improved in both eyes. Corneal topography pattern improved in all evaluated eyes. Patients were satisfied with the visual improvement and happy with glasses.

Conclusions:

Cataract surgery after corneal collagen cross-linking in high-myopic patients reported no complications and can improve UDVA, CDVA and videokeratoscopy pattern in patients with moderate amounts of progressive KC and cataract. FINANCIAL INTEREST: NONE

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