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Under-the-Flap Crosslinking and LASIK in Early Ectasia with Hyperopic Refractive Error
المؤلفون المشاركون
Jarade, Elias F.
el-Khoury, Sylvain
Abdelmassih, Youssef
Amro, Mazen
Chelala, Elias
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-10، 10ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-11-15
دولة النشر
مصر
عدد الصفحات
10
التخصصات الرئيسية
الملخص EN
Purpose.
To present safety, efficacy, and early results of a new combinational treatment for early corneal ectasia with hyperopic refractive error aimed to reinstate emmetropia and stabilize cornea.
Method.
This is a retrospective case series.
All surgeries were performed at the Beirut Eye Specialist Hospital, Lebanon.
Surgical procedure consisted of (1) lifting flap (post-LASIK ectasia)/creation of corneal flap (keratoconus), (2) application of excimer laser ablation to correct refractive error, (3) loose repositioning of flap, (4) under-the-flap irrigation with riboflavin 0.1% dextran solution, and (5) application of UVA light.
Results.
A total of 7 eyes (4 patients; mean age 24.25 years; all male) were included.
2 patients had early keratoconus, and 2 patients had early post-LASIK ectasia.
Pretreatment vs.
last postoperative follow-up visit (mean 11.25 months; range 6–15 months) UDVA (logMAR), spherical equivalent (SE) (D), astigmatism (D), and central pachymetry (µm) were 0.35 ± 0.18 vs.
0.05 ± 0.07, p=0.017; −0.81 ± 0.67 vs.
−0.46 ± 0.57, p=0.078; 2.46 ± 0.53 vs.
0.68 ± 0.28, p=0.018; and 547 ± 58 vs.
536 ± 49, p=0.07, respectively.
In all eyes, BCVA was 0.1 logMAR or better before and after treatment.
No eye showed a decrease in BCVA.
Two eyes of one patient had an epithelial ingrowth, which was removed in one case.
Follow-up results showed no major complications and no progression of corneal ectasia.
Conclusion.
Early results showed that under-the-flap CXL with excimer laser correction is an effective treatment for early hyperopic keratectasia, with the advantage of rapid recovery, postoperative corneal stability, and no epithelial healing complications.
The procedure seems to bear a risk for postoperative epithelial growth into the flap interface.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
el-Khoury, Sylvain& Abdelmassih, Youssef& Amro, Mazen& Chelala, Elias& Jarade, Elias F.. 2018. Under-the-Flap Crosslinking and LASIK in Early Ectasia with Hyperopic Refractive Error. Journal of Ophthalmology،Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1196552
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
el-Khoury, Sylvain…[et al.]. Under-the-Flap Crosslinking and LASIK in Early Ectasia with Hyperopic Refractive Error. Journal of Ophthalmology No. 2018 (2018), pp.1-10.
https://search.emarefa.net/detail/BIM-1196552
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
el-Khoury, Sylvain& Abdelmassih, Youssef& Amro, Mazen& Chelala, Elias& Jarade, Elias F.. Under-the-Flap Crosslinking and LASIK in Early Ectasia with Hyperopic Refractive Error. Journal of Ophthalmology. 2018. Vol. 2018, no. 2018, pp.1-10.
https://search.emarefa.net/detail/BIM-1196552
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1196552
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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