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First Author: R.Bakshi INDIA
Co Author(s): H. Gupta R. Sachdev C. Khurana M. Sachdev
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To evaluate the safety and efficacy of simultaneous Corneal Collagen Cross Linking (CXL) with Intra Corneal Ring Segments (Intacs) in patients with Post Lasik ectasia.
Prospective case series of patients with post lasik ectasia undergoing same day CXL with Intacs at Centre for Sight New Delhi.
Intacs channels were created with the help of Femtosecond Laser and CXL was performed with the conventional epithelium-off method in one sitting. Details of UCVA, Refraction and BCVA, Topography (Pentacam) were documented preoperatively and at post-op 3, 6 and 12 months.
16 eyes of 15 patients underwent same day CXL with Intacs. Mean Age was 28+/-5.08 years. Minimum follow up was 6 months (range 6-18 months). A mean fall of 3.0 +/-2.5 D of spherical equivalent at last follow up was seen. Average Sim K pre-op was 45.42 +/- 4.13 D which reduced to 42.50+/-4.50 D. Average K Max pre-op was 54.78+/-3.94 D which reduced to 49.0+/-3.5D post-op. No intra or post-op complications were noted in our series.
Simulataneos CXL+ Intacs is an effective and safe tool to manage post lasik ectasia. Has a synergistic effect in stabilizing the disease progression as well as optically rehabilitating the patient.