Current concepts in crosslinking thin corneas
Corneal cross-linking (CXL), introduced by Wollensak et al. in 2003, is a minimally invasive procedure to halt the progression of keratoconus. Conventional CXL is recommended in eyes with corneal thickness of at least 400 microns after de-epithelialization to prevent endothelial toxicity. However, m...
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doaj-95c85089d3e3451e847cd307b30305cf2020-11-24T21:42:20ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892019-01-0167181510.4103/ijo.IJO_1403_18Current concepts in crosslinking thin corneasRashmi DeshmukhFarhad HafeziGeorge D KymionisSabine KlingRupal ShahPrema PadmanabhanMahipal S SachdevCorneal cross-linking (CXL), introduced by Wollensak et al. in 2003, is a minimally invasive procedure to halt the progression of keratoconus. Conventional CXL is recommended in eyes with corneal thickness of at least 400 microns after de-epithelialization to prevent endothelial toxicity. However, most of the keratoconic corneas requiring CXL may not fulfill this preoperative inclusion criterion. Moderate-to-advanced cases are often found to have a pachymetry less than this threshold. There are various modifications to the conventional method to circumvent this issue of CXL thin corneas while avoiding the possible complications. This review is an update on the modifications of conventional CXL for thin corneas.http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=1;spage=8;epage=15;aulast=DeshmukhCross-linkingkeratoconusthin cornea |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Rashmi Deshmukh Farhad Hafezi George D Kymionis Sabine Kling Rupal Shah Prema Padmanabhan Mahipal S Sachdev |
spellingShingle |
Rashmi Deshmukh Farhad Hafezi George D Kymionis Sabine Kling Rupal Shah Prema Padmanabhan Mahipal S Sachdev Current concepts in crosslinking thin corneas Indian Journal of Ophthalmology Cross-linking keratoconus thin cornea |
author_facet |
Rashmi Deshmukh Farhad Hafezi George D Kymionis Sabine Kling Rupal Shah Prema Padmanabhan Mahipal S Sachdev |
author_sort |
Rashmi Deshmukh |
title |
Current concepts in crosslinking thin corneas |
title_short |
Current concepts in crosslinking thin corneas |
title_full |
Current concepts in crosslinking thin corneas |
title_fullStr |
Current concepts in crosslinking thin corneas |
title_full_unstemmed |
Current concepts in crosslinking thin corneas |
title_sort |
current concepts in crosslinking thin corneas |
publisher |
Wolters Kluwer Medknow Publications |
series |
Indian Journal of Ophthalmology |
issn |
0301-4738 1998-3689 |
publishDate |
2019-01-01 |
description |
Corneal cross-linking (CXL), introduced by Wollensak et al. in 2003, is a minimally invasive procedure to halt the progression of keratoconus. Conventional CXL is recommended in eyes with corneal thickness of at least 400 microns after de-epithelialization to prevent endothelial toxicity. However, most of the keratoconic corneas requiring CXL may not fulfill this preoperative inclusion criterion. Moderate-to-advanced cases are often found to have a pachymetry less than this threshold. There are various modifications to the conventional method to circumvent this issue of CXL thin corneas while avoiding the possible complications. This review is an update on the modifications of conventional CXL for thin corneas. |
topic |
Cross-linking keratoconus thin cornea |
url |
http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=1;spage=8;epage=15;aulast=Deshmukh |
work_keys_str_mv |
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