Recent advances in corneal collagen cross-linking

Corneal collagen cross-linking has become the preferred modality of treatment for corneal ectasia since its inception in late 1990s. Numerous studies have demonstrated the safety and efficacy of the conventional protocol. Our understanding of the cross-linking process is ever evolving, with its wide...

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Main Authors: Gitansha Shreyas Sachdev, Mahipal Sachdev
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=9;spage=787;epage=796;aulast=Sachdev
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author Gitansha Shreyas Sachdev
Mahipal Sachdev
author_facet Gitansha Shreyas Sachdev
Mahipal Sachdev
author_sort Gitansha Shreyas Sachdev
collection DOAJ
description Corneal collagen cross-linking has become the preferred modality of treatment for corneal ectasia since its inception in late 1990s. Numerous studies have demonstrated the safety and efficacy of the conventional protocol. Our understanding of the cross-linking process is ever evolving, with its wide implications in the form of accelerated and pulsed protocols. Newer advancements in technology include various riboflavin formulations and the ability to deliver higher fluence protocols with customised irradiation patterns. A greater degree of customisation is likely the path forward, which will aim at achieving refractive improvements along with disease stability. The use of cross-linking for myopic correction is another avenue under exploration. Combination of half fluence cross-linking with refractive correction for high errors to prevent post LASIK regression is gaining interest. This review aims to highlight the various advancements in the cross-linking technology and its clinical applications.
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spelling doaj.art-26b3370e9bab45f1a896d20cd34faf1f2022-12-22T00:08:20ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892017-01-0165978779610.4103/ijo.IJO_648_17Recent advances in corneal collagen cross-linkingGitansha Shreyas SachdevMahipal SachdevCorneal collagen cross-linking has become the preferred modality of treatment for corneal ectasia since its inception in late 1990s. Numerous studies have demonstrated the safety and efficacy of the conventional protocol. Our understanding of the cross-linking process is ever evolving, with its wide implications in the form of accelerated and pulsed protocols. Newer advancements in technology include various riboflavin formulations and the ability to deliver higher fluence protocols with customised irradiation patterns. A greater degree of customisation is likely the path forward, which will aim at achieving refractive improvements along with disease stability. The use of cross-linking for myopic correction is another avenue under exploration. Combination of half fluence cross-linking with refractive correction for high errors to prevent post LASIK regression is gaining interest. This review aims to highlight the various advancements in the cross-linking technology and its clinical applications.http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=9;spage=787;epage=796;aulast=SachdevAccelerated cross-linkingcorneal collagen cross-linkingcustomized cross-linkingphotorefractive intrastromal cross-linkingpulsed cross-linking
spellingShingle Gitansha Shreyas Sachdev
Mahipal Sachdev
Recent advances in corneal collagen cross-linking
Indian Journal of Ophthalmology
Accelerated cross-linking
corneal collagen cross-linking
customized cross-linking
photorefractive intrastromal cross-linking
pulsed cross-linking
title Recent advances in corneal collagen cross-linking
title_full Recent advances in corneal collagen cross-linking
title_fullStr Recent advances in corneal collagen cross-linking
title_full_unstemmed Recent advances in corneal collagen cross-linking
title_short Recent advances in corneal collagen cross-linking
title_sort recent advances in corneal collagen cross linking
topic Accelerated cross-linking
corneal collagen cross-linking
customized cross-linking
photorefractive intrastromal cross-linking
pulsed cross-linking
url http://www.ijo.in/article.asp?issn=0301-4738;year=2017;volume=65;issue=9;spage=787;epage=796;aulast=Sachdev
work_keys_str_mv AT gitanshashreyassachdev recentadvancesincornealcollagencrosslinking
AT mahipalsachdev recentadvancesincornealcollagencrosslinking