Rate of Corneal Collagen Crosslinking Redo in Private Practice: Risk Factors and Safety
Objective. To report the rate of progression of keratectasia after primary crosslinking (CXL) and evaluate the safety and efficiency of CXL redo. Materials and Methods. We conducted a retrospective analysis of the patients who underwent CXL between 2010 and 2013 at the Beirut Eye Specialist Hospital...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2015/690961 |
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| _version_ | 1832567006478467072 |
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| author | Joelle Antoun Elise Slim Rami el Hachem Elias Chelala Elyse Jabbour Georges Cherfan Elias F. Jarade |
| author_facet | Joelle Antoun Elise Slim Rami el Hachem Elias Chelala Elyse Jabbour Georges Cherfan Elias F. Jarade |
| author_sort | Joelle Antoun |
| collection | DOAJ |
| description | Objective. To report the rate of progression of keratectasia after primary crosslinking (CXL) and evaluate the safety and efficiency of CXL redo. Materials and Methods. We conducted a retrospective analysis of the patients who underwent CXL between 2010 and 2013 at the Beirut Eye Specialist Hospital, Lebanon. Progression of keratectasia was based on the presence of an increase in maximum keratometry of 1.00 D, a change in the map difference between two consecutive topographies of 1.00 D, a deterioration of visual acuity, or any change in the refraction. Primary and redo CXL were done using the same protocol. Results. Among the 221 eyes of 130 patients who underwent CXL, 7 eyes (3.17%) of five patients met the criteria of progression. All patients reported a history of allergic conjunctivitis and eye rubbing and progressed within 9 to 48 months. No complications were noted and all patients were stable 1 year after CXL redo. Conclusion. Allergic conjunctivitis and eye rubbing were the only risk factors associated with keratoconus progression after CXL. A close followup is thus mandatory, even years after the procedure. CXL redo seems to be a safe and efficient technique to halt the progression after a primary CXL. |
| format | Article |
| id | doaj-art-2565d1cbb02345068b60c432e3198ce3 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-2565d1cbb02345068b60c432e3198ce32025-02-03T01:02:34ZengWileyJournal of Ophthalmology2090-004X2090-00582015-01-01201510.1155/2015/690961690961Rate of Corneal Collagen Crosslinking Redo in Private Practice: Risk Factors and SafetyJoelle Antoun0Elise Slim1Rami el Hachem2Elias Chelala3Elyse Jabbour4Georges Cherfan5Elias F. Jarade6Saint Joseph University Hospital, Faculty of Medicine, P.O. Box 166830, Beirut, LebanonSaint Joseph University Hospital, Faculty of Medicine, P.O. Box 166830, Beirut, LebanonSaint Joseph University Hospital, Faculty of Medicine, P.O. Box 166830, Beirut, LebanonSaint Joseph University Hospital, Faculty of Medicine, P.O. Box 166830, Beirut, LebanonSaint Joseph University Hospital, Faculty of Medicine, P.O. Box 166830, Beirut, LebanonBeirut Eye Specialist Hospital, Al-Mathaf Square, P.O. Box 116-5311, Beirut, LebanonBeirut Eye Specialist Hospital, Al-Mathaf Square, P.O. Box 116-5311, Beirut, LebanonObjective. To report the rate of progression of keratectasia after primary crosslinking (CXL) and evaluate the safety and efficiency of CXL redo. Materials and Methods. We conducted a retrospective analysis of the patients who underwent CXL between 2010 and 2013 at the Beirut Eye Specialist Hospital, Lebanon. Progression of keratectasia was based on the presence of an increase in maximum keratometry of 1.00 D, a change in the map difference between two consecutive topographies of 1.00 D, a deterioration of visual acuity, or any change in the refraction. Primary and redo CXL were done using the same protocol. Results. Among the 221 eyes of 130 patients who underwent CXL, 7 eyes (3.17%) of five patients met the criteria of progression. All patients reported a history of allergic conjunctivitis and eye rubbing and progressed within 9 to 48 months. No complications were noted and all patients were stable 1 year after CXL redo. Conclusion. Allergic conjunctivitis and eye rubbing were the only risk factors associated with keratoconus progression after CXL. A close followup is thus mandatory, even years after the procedure. CXL redo seems to be a safe and efficient technique to halt the progression after a primary CXL.http://dx.doi.org/10.1155/2015/690961 |
| spellingShingle | Joelle Antoun Elise Slim Rami el Hachem Elias Chelala Elyse Jabbour Georges Cherfan Elias F. Jarade Rate of Corneal Collagen Crosslinking Redo in Private Practice: Risk Factors and Safety Journal of Ophthalmology |
| title | Rate of Corneal Collagen Crosslinking Redo in Private Practice: Risk Factors and Safety |
| title_full | Rate of Corneal Collagen Crosslinking Redo in Private Practice: Risk Factors and Safety |
| title_fullStr | Rate of Corneal Collagen Crosslinking Redo in Private Practice: Risk Factors and Safety |
| title_full_unstemmed | Rate of Corneal Collagen Crosslinking Redo in Private Practice: Risk Factors and Safety |
| title_short | Rate of Corneal Collagen Crosslinking Redo in Private Practice: Risk Factors and Safety |
| title_sort | rate of corneal collagen crosslinking redo in private practice risk factors and safety |
| url | http://dx.doi.org/10.1155/2015/690961 |
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