Recent Advances in Corneal Collagen Crosslinking in thin Corneas

Corneal collagen crosslinking has been a breakthrough in keratoconus management since its inception as it offers stabilization of the progressive ectasia. However, the limitation of its use in thin corneas (< 400 microns) is a limiting factor and various methods have been devised to overcome this...

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Main Authors: Deepa Gupta, Ritika Sachdev, Mahipal Sachdev
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-04-01
Series:Delhi Journal of Ophthalmology
Subjects:
Online Access:https://journals.lww.com/10.7869/djo.170
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author Deepa Gupta
Ritika Sachdev
Mahipal Sachdev
author_facet Deepa Gupta
Ritika Sachdev
Mahipal Sachdev
author_sort Deepa Gupta
collection DOAJ
description Corneal collagen crosslinking has been a breakthrough in keratoconus management since its inception as it offers stabilization of the progressive ectasia. However, the limitation of its use in thin corneas (< 400 microns) is a limiting factor and various methods have been devised to overcome this shortcoming. Modifications like application of hyposmolar riboflavin, transepithelial collagen cross-linking (CXL) and customized epithelial debridement have been tried but have limited clinical data. Contact lens assisted and SMILE lenticule assisted CXL are new entrants for application on the thin corneas. The article highlights the various modifications employed in tackling thin corneas in CXL.
format Article
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institution OA Journals
issn 0972-0200
2454-2784
language English
publishDate 2016-04-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Delhi Journal of Ophthalmology
spelling doaj-art-63daaa43687145abaedac154807b18c32025-08-20T02:11:18ZengWolters Kluwer Medknow PublicationsDelhi Journal of Ophthalmology0972-02002454-27842016-04-0126319519810.7869/djo.170Recent Advances in Corneal Collagen Crosslinking in thin CorneasDeepa GuptaRitika SachdevMahipal SachdevCorneal collagen crosslinking has been a breakthrough in keratoconus management since its inception as it offers stabilization of the progressive ectasia. However, the limitation of its use in thin corneas (< 400 microns) is a limiting factor and various methods have been devised to overcome this shortcoming. Modifications like application of hyposmolar riboflavin, transepithelial collagen cross-linking (CXL) and customized epithelial debridement have been tried but have limited clinical data. Contact lens assisted and SMILE lenticule assisted CXL are new entrants for application on the thin corneas. The article highlights the various modifications employed in tackling thin corneas in CXL.https://journals.lww.com/10.7869/djo.170collagencrosslinkingsmilethin cornea
spellingShingle Deepa Gupta
Ritika Sachdev
Mahipal Sachdev
Recent Advances in Corneal Collagen Crosslinking in thin Corneas
Delhi Journal of Ophthalmology
collagen
crosslinking
smile
thin cornea
title Recent Advances in Corneal Collagen Crosslinking in thin Corneas
title_full Recent Advances in Corneal Collagen Crosslinking in thin Corneas
title_fullStr Recent Advances in Corneal Collagen Crosslinking in thin Corneas
title_full_unstemmed Recent Advances in Corneal Collagen Crosslinking in thin Corneas
title_short Recent Advances in Corneal Collagen Crosslinking in thin Corneas
title_sort recent advances in corneal collagen crosslinking in thin corneas
topic collagen
crosslinking
smile
thin cornea
url https://journals.lww.com/10.7869/djo.170
work_keys_str_mv AT deepagupta recentadvancesincornealcollagencrosslinkinginthincorneas
AT ritikasachdev recentadvancesincornealcollagencrosslinkinginthincorneas
AT mahipalsachdev recentadvancesincornealcollagencrosslinkinginthincorneas