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Corneal collagen cross-linking for Terrien marginal degeneration.

Authors :
Hafezi F
Gatzioufas Z
Seiler TG
Seiler T
Source :
Journal of refractive surgery (Thorofare, N.J. : 1995) [J Refract Surg] 2014 Jul; Vol. 30 (7), pp. 498-500. Date of Electronic Publication: 2014 Jun 03.
Publication Year :
2014

Abstract

Purpose: To report the long-term clinical outcome of a patient diagnosed as having Terrien marginal degeneration (TMD) who was subjected to corneal collagen cross-linking (CXL) with ultraviolet-A and riboflavin in both eyes.<br />Methods: Topographical changes were assessed by high-resolution Scheimpflug imaging and anterior segment optical coherence tomography. Eccentric epithelium-off CXL was performed in both eyes while protecting the corneal limbus. Irradiation was performed with a fluence of 5.4 J/cm(2), using 3 mW/cm(2) for 30 minutes.<br />Results: Five years of postoperative follow-up showed regression of the keratometric values, a local thickening of the corneal stroma, and bilateral improvement of corrected distance visual acuity.<br />Conclusions: CXL may arrest progression in TMD and even reverse the catabolic process in the corneal stroma. CXL might represent an alternative therapeutic approach for the management of TMD.<br /> (Copyright 2014, SLACK Incorporated.)

Details

Language :
English
ISSN :
1081-597X
Volume :
30
Issue :
7
Database :
MEDLINE
Journal :
Journal of refractive surgery (Thorofare, N.J. : 1995)
Publication Type :
Academic Journal
Accession number :
24892378
Full Text :
https://doi.org/10.3928/1081597X-20140527-02