Accelerated corneal crosslinking (CXL) procedure
Accelerated treatment improves keratoconus, BCVA with less pain at 24 months
Howard Larkin
Published: Wednesday, January 25, 2017
Accelerated transepithelial CXL was safe and effective for progressive keratoconus with a reduced rate of complications and operative and postoperative discomfort related to epithelial removalUVA 370nm was applied at 30mW/cm² with continued application of 0.25% riboflavin for three minutes, delivering a total dose of 5.4J/cm². An optical antibiotic ointment ofloxacin 0.3% and bandage were applied for one day, and antibiotic drop 1.5% levofloxacin and corticosteroid 0.1% fluorometholone applied topically for one week. No intraoperative or postoperative complications were observed, and all 21 eyes completed follow-up. At 24 months, mean BCVA improved from about 0.22 logMAR to about 0.08 (P=0.2). Kmax declined from a mean of about 59 dioptres to 55.5 (P=0.003) and average K from about 52 to 49 dioptres (P=0.02). Thinnest corneal readings also dropped significantly though central corneal thickness remained stable, as did endothelial cell density and intraocular pressure, Dr Aixinjueluo reported. “Accelerated transepithelial CXL was safe and effective for progressive keratoconus with a reduced rate of complications and operative and postoperative discomfort related to epithelial removal,” she concluded. Wei Aixinjueluo: waixinjueluo@yahoo.co.jp
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