Combined Corneal Wedge Resection And Corneal Cross-Linking For Pellucid Marginal Degeneration: A First Report.

Details

Serval ID
serval:BIB_4B5952718C42
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Combined Corneal Wedge Resection And Corneal Cross-Linking For Pellucid Marginal Degeneration: A First Report.
Journal
Therapeutics and clinical risk management
Author(s)
Kymionis G., Voulgari N., Samutelela E., Kontadakis G., Tabibian D.
ISSN
1176-6336 (Print)
ISSN-L
1176-6336
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
15
Pages
1319-1324
Language
english
Notes
Publication types: Case Reports
Publication Status: epublish
Abstract
Advanced pellucid marginal degeneration is a debilitating disease that warrants the use of surgery when the visual acuity is reduced and contact lenses are not tolerated anymore. It is traditionally managed with corneal transplantation, however alternative surgical options exist. Corneal wedge resection allows for good visual rehabilitation without the risks of tissue rejection. However topographical and refractive results are in some instance fluctuating. We present here the use of corneal cross-linking in order to stabilize the parameters on the long term.
We present here the case of a 53 years old patient with bilateral advanced pellucid marginal degeneration. As he is now intolerant to contact lenses a surgical option is offered to him. In order to avoid using donated tissue through corneal grafting we decide to perform a sectorial lamellar crescentric wedge excision of the thinner inferior part of the cornea involving the pellucid marginal degeneration and suture it. The first eye shows initial good results however after few months regression is observed. The second eye is then treated with the same surgical technique combined with cornea cross-linking. Long-term follow-up shows stabilization and absence of regression in the second eye up to eight months after the surgery.
Combining corneal cross-linking with corneal wedge resection in the case of advanced pellucid marginal degeneration patients could be a good option in order to stabilize topographical and refractive results and reduces the risk of regression.
Keywords
cornea, cornea cross-linking, ectasia, pellucid marginal degeneration, wedge resection
Pubmed
Web of science
Open Access
Yes
Create date
15/12/2019 18:20
Last modification date
12/11/2020 7:26
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