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Method of corneal cross-linking in patient with keratectasia after corneal incisions

Poster Details

First Author: A.Farafonova UKRAINE

Co Author(s):    G. Parkhomenko   A. Farafonova                 

Abstract Details


To show the surgical technic and results of Corneal CrossLinking (CXL) in patient with progressive keratectasia after radial and tangential keratotomy using excimer laser epithelial removal.


Private clinic "New Vision" Kiev, Ukraine


44 year old men with high myopia and keratectasia after keratotomy of both eyes, complaint of diplopia and decreased vision,vision acuity 12/20, corneal thickness 565 and irregular astigmatism -10,5 D, deep tangential incisions, was made CXL (It was performed according to Dresden's protocol). Zone of epithelial removing by excimer laser (Amaris, Schwind, eye-tech-solution) was chosen according to Pentacam data of posterior elevation map and programmed to 50 mum of thickness and 6,5 mm of diameter.


:Postoperatively: full epitalisation of the cornea on the 4th day, in one weak diplopoda disappeared, vision acuity 14/20, astigmatism reduction for 1.5 D, subjectevly there were no postoperative pain, just discomfort and worse vision acuity for the first 3 days.


Excimer laser epithelial removal in CXL in patients with keratectasia after corneal incisions is less traumatically and more safety surgery technique, especially in cases with deep keratotomy.

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