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Accelerated cross-linking with 10mW/cm2 light in patients with keratoconus

Poster Details

First Author: P.Michieletto ITALY

Co Author(s):    A. Balestrazzi   R. Di Cicco   M. Pizzi   C. Tamburrelli     

Abstract Details



Purpose:

To evaluate the efficacy and the safety of accelerated Cross-Linking with 10mW/cm2 in patients with keratoconus

Setting:

Ophthalmic Hospital of Rome

Methods:

40 eyes of 40 patients have been treated by two surgeons with higher intensity cross linking (10mW/cm2) from october 2013 in our Department . All patients were submitted to digital slit lamp biomicroscopy, visual acuity test ,Corneal Topography, Anterior segment OCT .

Results:

In most of case demarcation line OCT was between 190 and 220 microns, we had only one postoperative complication( a large corneal infiltrate) perhaps linked to 'use of contact lenses.The postoperative course was similar to that of traditional cross linking (3mW/cm2). In rare cases we noticed slight transient corneal opacity. In all cases patients reported less discomfort and less burning during surgery with respect to traditional cross linking.

Conclusions:

Our preliminary clinical results suggest that accelerated Cross-Linking with 10mW/cm2 and standard Corneal Cross-Linking with 3mW/cm2 UV light have similar effects on the cornea, but accelerated Cross-Linking with 10mW/cm2 seems to be less invasive. Reduce the treatment time to 9 minutes can be of benefit to both the patient and surgeon and may widen the indications of this type of treatment . FINANCIAL INTEREST: NONE

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