Corneal Collagen Crosslinking (CXL) for Corneal Ectasia after Small Incision Lenticule Extraction (SMILE). / Korneales Kollagen-Crosslinking (CXL) bei Hornhautektasie nach SMILE (Small Incision Lenticule Extraction).
Klin Monbl Augenheilkd
; 239(11): 1354-1360, 2022 Nov.
Article
en En, De
| MEDLINE
| ID: mdl-35790199
ABSTRACT
With an estimated incidence of 0.011%, the SMILE procedure seems to have the lowest risk of postoperative keratectasia among contemporary keratorefractive procedures. Nevertheless, due to the novelty of the procedure as well as the lack of data, no clear superiority over femto-LASIK or PRK can be stated at this time. In this respect, application of the identical tomographic screening criteria previously developed for excimer-based procedures is of paramount importance to minimize the risk of corneal ectasia. As an adjunct to conventional corneal tomography, newer imaging modalities such as OCT-based epithelial mapping should be used for preoperative screening before keratorefractive surgery. Corneal crosslinking is an established treatment modality for post-SMILE keratectasia, which promises high success rates especially in early stages. The present case report illustrates these diagnostic and therapeutic considerations.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Colágeno
/
Córnea
/
Enfermedades de la Córnea
/
Procedimientos Quirúrgicos Refractivos
/
Miopía
Tipo de estudio:
Etiology_studies
Límite:
Humans
Idioma:
De
/
En
Revista:
Klin Monbl Augenheilkd
Año:
2022
Tipo del documento:
Article