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Revista Cubana de Oftalmología

ISSN 1561-3070 (Electronic)
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2014, Number 4

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Rev Cub Oftal 2014; 27 (4)

Changes in the anterior and posterior elevation of the cornea after the corneal crosslinking

Jareño OM, Rojas GK, Pérez PZ, Escalona LET, Castillo PAC
Full text How to cite this article

Language: Spanish
References: 8
Page: 569-575
PDF size: 84.99 Kb.


Key words:

keratoconus, crosslinking, corneal collagen, best fit sphere, anterior elevation, posterior elevation.

ABSTRACT

Objective: to determine the anterior and posterior corneal surface elevation in the corneal crosslinking surgical treatment applied to patients with keratoconus at the corneal service of "Ramón Pando Ferrer" Cuban Institute of Ophthalmology.
Methods: a retrospective and descriptive study of 30 eyes from 30 patients with progressive keratoconus who underwent the corneal collagen crosslinking. Data were collected preoperatively at 6, 12 and 24 months. The studied variables were best fit anterior sphere, anterior elevation, best posterior fit sphere and posterior corneal elevation.
Results: the preoperative best fit anterior sphere was 7,34 mm and there was no difference in the postoperative period. The anterior corneal surface elevation showed statistically significant reduction from 20,73 µm in the preoperative period to 14,90 µm in the first year and 15,93 µm in the second year after surgery. There was no changes either in the posterior best fit sphere of 5,94 mm or in the posterior elevation of 31,80 µm.
Conclusions: after the corneal crosslinking, there is a reduction of the anterior elevation and the posterior elevation remains the same.


REFERENCES

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  2. Morcillo LR, Muñoz NF, Furán PS. La Cámara de Scheimpflug rotacional Pentacam. Studium Ophthalmologicum [Internet]. 2007 [citado 25 de junio de 2012]:1-6. Disponible en: http://www.oftalmo.com/studium/studium2006/stud064/06d-04.htm

  3. Vasirani J, Basu S. Keratoconus: current perspectives. Clin Ophthalmol [Internet]. 2013 [citado 12 de marzo de 2014];7:2019-30. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3798205/

  4. Sorkin N, Varssano D. Corneal collagen crosslinking: a systematic review. Ophthalmologica [Internet]. 2014 [citado: 18 de junio de 2014];232:10-27. Disponible en: http://www.karger.com/Article/FullText/357979

  5. Afanador MA, Montoya BM. Evolución inusual del queratocono después del entrecruzamiento de colágeno corneal. Serie de casos. Rev Soc Colomb Oftalmol [Internet]. 2014 [citado 15 de junio de 2014];47(1):1-88. Disponible en: http://www.socoftal.com/socoftalnueva/ images/revistas/revista_SCO_v471.pdf#page=39

  6. Hassan Z, Modis L, Szalai E, Berta A, Nemeth G. Scheimpflug imaged corneal changes on anterior and posterior surfaces after collagen crosslinking. Int J Ophthalmol [Internet]. 2014 [citado 16 de junio de 2014];7(2):313-6. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4003088/

  7. Gore DM, Shortt AJ, Allan BD. New clinical pathways for keratoconus. Eye [Internet]. 2013 [citado 16 de junio de 2014];27(3):329-39. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3597866/

  8. Spadea L, Mencucci R. Transepithelial corneal collagen crosslinking in ultrathin keratoconic corneas. Clin Ophthalmol [Internet]. 2012 [citado 16 de junio de 2014];6:1785-92. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3497455/#!po=71.1538




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Rev Cub Oftal. 2014;27