Combined photorefractive keratectomy and cross-linking. Pushing the limits
Correction of refractive error through laser-assisted means has soared in popularity in recent years, allowing it to become an increasingly routine surgical procedure. Technique refinement and adjustments resulted in laser-assisted refractive surgery to be combined with treatments such as collagen c...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Taiwan Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.e-tjo.org/article.asp?issn=2211-5056;year=2019;volume=9;issue=3;spage=206;epage=209;aulast=Tsatsos |
| _version_ | 1818214978595848192 |
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| author | Michael Tsatsos Ioannis Athanasiadis Cheryl MacGregor Antonios Aristeidou Marilita M Moschos Nikolaos Ziakas |
| author_facet | Michael Tsatsos Ioannis Athanasiadis Cheryl MacGregor Antonios Aristeidou Marilita M Moschos Nikolaos Ziakas |
| author_sort | Michael Tsatsos |
| collection | DOAJ |
| description | Correction of refractive error through laser-assisted means has soared in popularity in recent years, allowing it to become an increasingly routine surgical procedure. Technique refinement and adjustments resulted in laser-assisted refractive surgery to be combined with treatments such as collagen cross linking (CXL). This has broadened safety parameters and widened the treatment boundaries. Laser correction combined with CXL has been advocated in the treatment of high refractive errors as a safe option for full refractive correction while increasing corneal biomechanical stability. We present a complicated case where a young female patient with a preoperative best-corrected visual acuity (BCVA) of 20/20 in each eye was fully corrected by excimer laser followed by CXL. Factors potentially leading to inflammation, such as ocular surface disease, in addition to laser treatment and CXL, resulted in persistent epithelial defect followed by corneal melt and subsequent thinning. After the treatment, the patient relies on rigid gas-permeable contact lenses, achieving a BCVA of 20/25 and 20/23 in the right eye and left eye, respectively. |
| first_indexed | 2024-12-12T06:28:46Z |
| format | Article |
| id | doaj.art-4f0dae87d76c4c6599960448b6599789 |
| institution | Directory Open Access Journal |
| issn | 2211-5056 2211-5072 |
| language | English |
| last_indexed | 2024-12-12T06:28:46Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Taiwan Journal of Ophthalmology |
| spelling | doaj.art-4f0dae87d76c4c6599960448b65997892022-12-22T00:34:41ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722019-01-019320620910.4103/tjo.tjo_7_19Combined photorefractive keratectomy and cross-linking. Pushing the limitsMichael TsatsosIoannis AthanasiadisCheryl MacGregorAntonios AristeidouMarilita M MoschosNikolaos ZiakasCorrection of refractive error through laser-assisted means has soared in popularity in recent years, allowing it to become an increasingly routine surgical procedure. Technique refinement and adjustments resulted in laser-assisted refractive surgery to be combined with treatments such as collagen cross linking (CXL). This has broadened safety parameters and widened the treatment boundaries. Laser correction combined with CXL has been advocated in the treatment of high refractive errors as a safe option for full refractive correction while increasing corneal biomechanical stability. We present a complicated case where a young female patient with a preoperative best-corrected visual acuity (BCVA) of 20/20 in each eye was fully corrected by excimer laser followed by CXL. Factors potentially leading to inflammation, such as ocular surface disease, in addition to laser treatment and CXL, resulted in persistent epithelial defect followed by corneal melt and subsequent thinning. After the treatment, the patient relies on rigid gas-permeable contact lenses, achieving a BCVA of 20/25 and 20/23 in the right eye and left eye, respectively.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2019;volume=9;issue=3;spage=206;epage=209;aulast=TsatsosAtopycollagen cross-linkingmeltphotorefractive keratectomy |
| spellingShingle | Michael Tsatsos Ioannis Athanasiadis Cheryl MacGregor Antonios Aristeidou Marilita M Moschos Nikolaos Ziakas Combined photorefractive keratectomy and cross-linking. Pushing the limits Taiwan Journal of Ophthalmology Atopy collagen cross-linking melt photorefractive keratectomy |
| title | Combined photorefractive keratectomy and cross-linking. Pushing the limits |
| title_full | Combined photorefractive keratectomy and cross-linking. Pushing the limits |
| title_fullStr | Combined photorefractive keratectomy and cross-linking. Pushing the limits |
| title_full_unstemmed | Combined photorefractive keratectomy and cross-linking. Pushing the limits |
| title_short | Combined photorefractive keratectomy and cross-linking. Pushing the limits |
| title_sort | combined photorefractive keratectomy and cross linking pushing the limits |
| topic | Atopy collagen cross-linking melt photorefractive keratectomy |
| url | http://www.e-tjo.org/article.asp?issn=2211-5056;year=2019;volume=9;issue=3;spage=206;epage=209;aulast=Tsatsos |
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