ESCRS - PO0723 - Long Term Follow Up Of Children With Initial Stages Keratoconus After Surgical Treatment (Up To 10 Years)

Long Term Follow Up Of Children With Initial Stages Keratoconus After Surgical Treatment (Up To 10 Years)

Published 2023 - 41st Congress of the ESCRS

Reference: PO0723 | Type: Free paper | DOI: 10.82333/a9y4-kt36

Authors: Artem Zakharovich Ciganov* 1 , Svetlana Izmailova 1 , Valeria Suchkova 1 , Lana Arutyunyan 1

1Department of Transplantology and Optical-Reconstructive Surgery of the Anterior Segment of the Eyeball,S.N. Fyodorov Eye Microsurgery Federal State Institution of the Russian Ministry of Health,Moscow,Russian Federation

Purpose

To analyze the effectiveness of the treatment of pediatric keratoconus, taking into account the use of various surgical methods in the long-term period in patients with progressive keratectasia.

Setting

The study was carried out on the basis of S. Fyodorov Eye Microsurgery Federal State Institution. 43 patients (70 eyes) were operated. The maximum follow-up period is 10 years.

Methods

Patients underwent various surgical treatments: implantation of intrastromal corneal ring segments (27 eyes), corneal cross-linking (14 eyes), combination of implantation of intrastromal corneal ring segments and corneal cross-linking (29 eyes). Mechanical implantation of the intrastromal corneal ring segments was performed in 34 cases, using a femtosecond laser – in 22 cases.

Results

In all groups, there was an increase in visual acuity and stabilization of the keratectatic process, which indicates the effectiveness of the treatment. In three cases, we had to remove the intrastromal segment due to the mechanical implantation technique. The combined treatment group (combination of implantation of intrastromal corneal ring segments and corneal cross-linking) showed the best results of restoring visual functions and stabilizing the process.

Conclusions

Our 10-year experience in the treatment of the initial stages of keratoconus in children has proven its effectiveness in stabilizing the ectatic process and the safety of this type of surgical treatment. Also based on the clinical study, we worked on the formation of selection criteria, indications, and creation of an algorithm for surgical treatment of keratoconus in patients under 18 years of age with various stages.