Treatment of Keratoconus with WaveLight Contoura and Corneal Cross-Linking Combined

Manoj Motwani Motwani LASIK Institute, San Diego, CA, 92121, USACorrespondence: Manoj MotwaniMotwani LASIK Institute, 4520 Executive Dr., Suite 230, San Diego, CA, 92121, USATel +1 858 554-0008Email drmmlj@gmail.comPurpose: To investigate the outcomes of the treatment of keratoconus/corneal ectasia...

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Autor principal:	Motwani M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	astigmatism best-corrected visual acuity corneal cross-linking higher-order aberrations keratoconus topographic guided ablation Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/01e30ba8f39b4658afe422cb152dcc05
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spelling	oai:doaj.org-article:01e30ba8f39b4658afe422cb152dcc052021-12-02T17:40:50ZTreatment of Keratoconus with WaveLight Contoura and Corneal Cross-Linking Combined1177-5483https://doaj.org/article/01e30ba8f39b4658afe422cb152dcc052021-06-01T00:00:00Zhttps://www.dovepress.com/treatment-of-keratoconus-with-wavelight-contoura-and-corneal-cross-lin-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Manoj Motwani Motwani LASIK Institute, San Diego, CA, 92121, USACorrespondence: Manoj MotwaniMotwani LASIK Institute, 4520 Executive Dr., Suite 230, San Diego, CA, 92121, USATel +1 858 554-0008Email drmmlj@gmail.comPurpose: To investigate the outcomes of the treatment of keratoconus/corneal ectasia utilizing topographic-guided ablation (WaveLight Contoura) followed by corneal cross-linking.Methods: Thirty-six eyes of 21 patients were treated for keratoconus/corneal ectasia utilizing topographic guided ablation photorefractive keratectomy (PRK) for treatment of corneal higher-order aberrations and refractive error followed immediately by 15-minute cross-linking were examined retrospectively. Six-month results were analyzed via measurement of vision, refraction, residual higher-order aberrations (HOAs), residual lower-order and higher-order aberrations, as well as for loss or gains of lines of best-corrected visual acuity.Results: All eyes save one had reduction in K1, K2, K Max, K Mean. All eyes had reduction in manifest astigmatism, Contoura-measured astigmatism, higher-order aberrations, higher-order aberrations grouped with lower-order aberrations (Grouped). Four eyes had lost 1– 2 lines of vision, mainly to corneal haze formation, 17 eyes gained lines of vision, and 15 eyes equaled their pre-op best-corrected visual acuity. Eight eyes from four sample patients have their data included in this manuscript to demonstrate the procedure and the outcomes.Conclusion: Treatment with WaveLight Contoura combined with 15-minute corneal cross-linking is an effective and safe treatment for keratoconus and should be considered a primary treatment to prevent corneal transplant as well as improve vision and corneal irregularity.Keywords: astigmatism, best-corrected visual acuity, corneal cross-linking, higher-order aberrations, keratoconus, topographic-guided ablationMotwani MDove Medical Pressarticleastigmatismbest-corrected visual acuitycorneal cross-linkinghigher-order aberrationskeratoconustopographic guided ablationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 2455-2472 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	astigmatism best-corrected visual acuity corneal cross-linking higher-order aberrations keratoconus topographic guided ablation Ophthalmology RE1-994
spellingShingle	astigmatism best-corrected visual acuity corneal cross-linking higher-order aberrations keratoconus topographic guided ablation Ophthalmology RE1-994 Motwani M Treatment of Keratoconus with WaveLight Contoura and Corneal Cross-Linking Combined
description	Manoj Motwani Motwani LASIK Institute, San Diego, CA, 92121, USACorrespondence: Manoj MotwaniMotwani LASIK Institute, 4520 Executive Dr., Suite 230, San Diego, CA, 92121, USATel +1 858 554-0008Email drmmlj@gmail.comPurpose: To investigate the outcomes of the treatment of keratoconus/corneal ectasia utilizing topographic-guided ablation (WaveLight Contoura) followed by corneal cross-linking.Methods: Thirty-six eyes of 21 patients were treated for keratoconus/corneal ectasia utilizing topographic guided ablation photorefractive keratectomy (PRK) for treatment of corneal higher-order aberrations and refractive error followed immediately by 15-minute cross-linking were examined retrospectively. Six-month results were analyzed via measurement of vision, refraction, residual higher-order aberrations (HOAs), residual lower-order and higher-order aberrations, as well as for loss or gains of lines of best-corrected visual acuity.Results: All eyes save one had reduction in K1, K2, K Max, K Mean. All eyes had reduction in manifest astigmatism, Contoura-measured astigmatism, higher-order aberrations, higher-order aberrations grouped with lower-order aberrations (Grouped). Four eyes had lost 1– 2 lines of vision, mainly to corneal haze formation, 17 eyes gained lines of vision, and 15 eyes equaled their pre-op best-corrected visual acuity. Eight eyes from four sample patients have their data included in this manuscript to demonstrate the procedure and the outcomes.Conclusion: Treatment with WaveLight Contoura combined with 15-minute corneal cross-linking is an effective and safe treatment for keratoconus and should be considered a primary treatment to prevent corneal transplant as well as improve vision and corneal irregularity.Keywords: astigmatism, best-corrected visual acuity, corneal cross-linking, higher-order aberrations, keratoconus, topographic-guided ablation
format	article
author	Motwani M
author_facet	Motwani M
author_sort	Motwani M
title	Treatment of Keratoconus with WaveLight Contoura and Corneal Cross-Linking Combined
title_short	Treatment of Keratoconus with WaveLight Contoura and Corneal Cross-Linking Combined
title_full	Treatment of Keratoconus with WaveLight Contoura and Corneal Cross-Linking Combined
title_fullStr	Treatment of Keratoconus with WaveLight Contoura and Corneal Cross-Linking Combined
title_full_unstemmed	Treatment of Keratoconus with WaveLight Contoura and Corneal Cross-Linking Combined
title_sort	treatment of keratoconus with wavelight contoura and corneal cross-linking combined
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/01e30ba8f39b4658afe422cb152dcc05
work_keys_str_mv	AT motwanim treatmentofkeratoconuswithwavelightcontouraandcornealcrosslinkingcombined
_version_	1718379684762222592

Treatment of Keratoconus with WaveLight Contoura and Corneal Cross-Linking Combined

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