Corneal collagen cross-linking (CXL) combined with refractive procedures for the treatment of corneal ectatic disorders: CXL plus.

Details

Serval ID
serval:BIB_0D7C15476CF8
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Corneal collagen cross-linking (CXL) combined with refractive procedures for the treatment of corneal ectatic disorders: CXL plus.
Journal
Journal of refractive surgery
Author(s)
Kymionis G.D., Grentzelos M.A., Portaliou D.M., Kankariya V.P., Randleman J.B.
ISSN
1081-597X (Print)
ISSN-L
1081-597X
Publication state
Published
Issued date
08/2014
Peer-reviewed
Oui
Volume
30
Number
8
Pages
566-576
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Abstract
To discuss current combined corneal collagen cross-linking (CXL) and refractive surgical techniques (herein termed "CXL plus") for the treatment of corneal ectatic disorders to improve functional visual acuity in addition to corneal stability from CXL alone.
Literature review.
Efficacious combined treatments with CXL include: photorefractive keratectomy, transepithelial phototherapeutic keratectomy, intrastromal corneal ring segments implantation, phakic intraocular lens implantation, and multiple combined procedures. Some uncertainty remains as to the optimal strategies for each patient. A decision tree is proposed to facilitate optimal patient management.
With multiple adjuvant techniques, CXL plus is likely to benefit many patients with corneal ectatic disorders. The appropriate combined procedure will depend on multiple factors, such as refraction, corneal thickness, and degree of irregular astigmatism.
Keywords
Collagen/metabolism, Combined Modality Therapy, Corneal Stroma/metabolism, Cross-Linking Reagents/therapeutic use, Humans, Keratoconus/drug therapy, Keratoconus/metabolism, Keratoconus/surgery, Photosensitizing Agents/therapeutic use, Refractive Surgical Procedures, Riboflavin/therapeutic use, Ultraviolet Rays
Pubmed
Web of science
Create date
30/09/2019 16:15
Last modification date
06/10/2019 5:26
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