PURPOSE: To discuss current combined corneal collagen cross-linking (CXL) and refractive surgical techniques (herein termed "CXL plus") for the treatment of corneal ectatic disorders to improve functional visual acuity in addition to corneal stability from CXL alone. METHODS: Literature review. RESULTS: Efficacious combined treatments with CXL include: photorefractive keratectomy, transepithelial phototherapeutic keratectomy, intrastromal corneal ring segments implantation, phakic intraocular lens implantation, and multiple combined procedures. Some uncertainty remains as to the optimal strategies for each patient. A decision tree is proposed to facilitate optimal patient management. CONCLUSIONS: With multiple adjuvant techniques, CXL plus is likely to benefit many patients with corneal ectatic disorders. The appropriate combined procedure will depend on multiple factors, such as refraction, corneal thickness, and degree of irregular astigmatism. Copyright 2014, SLACK Incorporated.
PURPOSE: To discuss current combined corneal collagen cross-linking (CXL) and refractive surgical techniques (herein termed "CXL plus") for the treatment of corneal ectatic disorders to improve functional visual acuity in addition to corneal stability from CXL alone. METHODS: Literature review. RESULTS: Efficacious combined treatments with CXL include: photorefractive keratectomy, transepithelial phototherapeutic keratectomy, intrastromal corneal ring segments implantation, phakic intraocular lens implantation, and multiple combined procedures. Some uncertainty remains as to the optimal strategies for each patient. A decision tree is proposed to facilitate optimal patient management. CONCLUSIONS: With multiple adjuvant techniques, CXL plus is likely to benefit many patients with corneal ectatic disorders. The appropriate combined procedure will depend on multiple factors, such as refraction, corneal thickness, and degree of irregular astigmatism. Copyright 2014, SLACK Incorporated.
Authors: Mohammed Iqbal Hafez Saleem; Hosam A Ibrahim Elzembely; Mortada Ahmed AboZaid; Mohammed Elagouz; Ahmed Mohamed Saeed; Osama Ali Mohammed; Ahmed Gad Kamel Journal: J Ophthalmol Date: 2018-01-17 Impact factor: 1.909
Authors: Mohammed Iqbal; Ahmed Elmassry; Ahmed Tawfik; Mervat Elshabrawy Elgharieb; Osama Mohiey El Deen Al Nahrawy; Ashraf Hassan Soliman; Hisham A Saad; Hosam A Ibrahim Elzembely; Ahmed Mohamed Saeed; Osama Ali Mohammed; Ahmed Gad Kamel; Islam Saad El Saman Journal: Cornea Date: 2018-09 Impact factor: 2.651
Authors: Katja C Iselin; Philipp B Baenninger; Lucas M Bachmann; Frank Bochmann; Michael A Thiel; Claude Kaufmann Journal: Eye Vis (Lond) Date: 2020-03-03