ESCRS - P211 - PACE: PTK-ASSISTED CUSTOMIZED EPI-ON CXL

PACE: PTK-ASSISTED CUSTOMIZED EPI-ON CXL

Published 2023 - 27th ESCRS Winter Meeting

Reference: P211 | Type: Case Report (Cornea Day) | DOI: 10.82333/q34x-3k11

Authors: Emilio A. Torres-Netto* 1 , Shady Awwad 2 , Farhad Hafezi 1

1ELZA Institute & University of Zurich,Zurich,Switzerland, 2American University of Beirut,Beirut,Lebanon

Purpose

To describe the corneal remodelling in a clinical case using the novel PTK- assisted customized epi-on CXL.

Setting

ELZA Institute, Dietikon/Zurich, Switzerland

Report of case

Unlike standard CXL, where the same amount of irradiation is used over the entire cornea, we describe a case where PACE (PTK-assisted custom CXL epi-on) was used. A larger amount of irradiation was applied over the area of the cornea where the keratoconus is, and less irradiation over the rest of the cornea. Corneal remodeling selectively flattened the steepest area of the keratoconus by a substantial amount in just a few weeks.

Conclusion / Take home message

The novel cross-linking approach is highly effective in regularizing irregular corneas and may expand traditional surgical indications.