Adjuvant corneal crosslinking to prevent hyperopic LASIK regression

Ioannis M Aslanides, Achyut N MukherjeeEmmetropia Mediterranean Eye Clinic, Heraklion, Crete, GreecePurpose: To report the long term outcomes, safety, stability, and efficacy in a pilot series of simultaneous hyperopic laser assisted in situ keratomileusis (LASIK) and corneal crosslinking (CXL).Meth...

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Autores principales:	Aslanides IM, Mukherjee AN
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/0c13e13e9bb94c5e9524bd3decab2de1
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spelling	oai:doaj.org-article:0c13e13e9bb94c5e9524bd3decab2de12021-12-02T00:42:10ZAdjuvant corneal crosslinking to prevent hyperopic LASIK regression1177-54671177-5483https://doaj.org/article/0c13e13e9bb94c5e9524bd3decab2de12013-03-01T00:00:00Zhttp://www.dovepress.com/adjuvant-corneal-crosslinking-to-prevent-hyperopic-lasik-regression-a12621https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Ioannis M Aslanides, Achyut N MukherjeeEmmetropia Mediterranean Eye Clinic, Heraklion, Crete, GreecePurpose: To report the long term outcomes, safety, stability, and efficacy in a pilot series of simultaneous hyperopic laser assisted in situ keratomileusis (LASIK) and corneal crosslinking (CXL).Method: A small cohort series of five eyes, with clinically suboptimal topography and/or thickness, underwent LASIK surgery with immediate riboflavin application under the flap, followed by UV light irradiation. Postoperative assessment was performed at 1, 3, 6, and 12 months, with late follow up at 4 years, and results were compared with a matched cohort that received LASIK only.Results: The average age of the LASIK-CXL group was 39 years (26–46), and the average spherical equivalent hyperopic refractive error was +3.45 diopters (standard deviation 0.76; range 2.5 to 4.5). All eyes maintained refractive stability over the 4 years. There were no complications related to CXL, and topographic and clinical outcomes were as expected for standard LASIK.Conclusion: This limited series suggests that simultaneous LASIK and CXL for hyperopia is safe. Outcomes of the small cohort suggest that this technique may be promising for ameliorating hyperopic regression, presumed to be biomechanical in origin, and may also address ectasia risk.Keyword: CXLAslanides IMMukherjee ANDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 637-641 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Aslanides IM Mukherjee AN Adjuvant corneal crosslinking to prevent hyperopic LASIK regression
description	Ioannis M Aslanides, Achyut N MukherjeeEmmetropia Mediterranean Eye Clinic, Heraklion, Crete, GreecePurpose: To report the long term outcomes, safety, stability, and efficacy in a pilot series of simultaneous hyperopic laser assisted in situ keratomileusis (LASIK) and corneal crosslinking (CXL).Method: A small cohort series of five eyes, with clinically suboptimal topography and/or thickness, underwent LASIK surgery with immediate riboflavin application under the flap, followed by UV light irradiation. Postoperative assessment was performed at 1, 3, 6, and 12 months, with late follow up at 4 years, and results were compared with a matched cohort that received LASIK only.Results: The average age of the LASIK-CXL group was 39 years (26–46), and the average spherical equivalent hyperopic refractive error was +3.45 diopters (standard deviation 0.76; range 2.5 to 4.5). All eyes maintained refractive stability over the 4 years. There were no complications related to CXL, and topographic and clinical outcomes were as expected for standard LASIK.Conclusion: This limited series suggests that simultaneous LASIK and CXL for hyperopia is safe. Outcomes of the small cohort suggest that this technique may be promising for ameliorating hyperopic regression, presumed to be biomechanical in origin, and may also address ectasia risk.Keyword: CXL
format	article
author	Aslanides IM Mukherjee AN
author_facet	Aslanides IM Mukherjee AN
author_sort	Aslanides IM
title	Adjuvant corneal crosslinking to prevent hyperopic LASIK regression
title_short	Adjuvant corneal crosslinking to prevent hyperopic LASIK regression
title_full	Adjuvant corneal crosslinking to prevent hyperopic LASIK regression
title_fullStr	Adjuvant corneal crosslinking to prevent hyperopic LASIK regression
title_full_unstemmed	Adjuvant corneal crosslinking to prevent hyperopic LASIK regression
title_sort	adjuvant corneal crosslinking to prevent hyperopic lasik regression
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/0c13e13e9bb94c5e9524bd3decab2de1
work_keys_str_mv	AT aslanidesim adjuvantcornealcrosslinkingtopreventhyperopiclasikregression AT mukherjeean adjuvantcornealcrosslinkingtopreventhyperopiclasikregression
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Adjuvant corneal crosslinking to prevent hyperopic LASIK regression

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