دورية أكاديمية

Effect of Corneal Allogenic Intrastromal Ring Segment (CAIRS) Implantation Surgery in Patients With Keratoconus According to Prior Corneal Cross-linking Status.

التفاصيل البيبلوغرافية
العنوان: Effect of Corneal Allogenic Intrastromal Ring Segment (CAIRS) Implantation Surgery in Patients With Keratoconus According to Prior Corneal Cross-linking Status.
المؤلفون: Yucekul B, Tanriverdi C, Taneri S, Keskin Perk FFN, Karaca Y, Kilic A
المصدر: Journal of refractive surgery (Thorofare, N.J. : 1995) [J Refract Surg] 2024 May; Vol. 40 (6), pp. e392-e397. Date of Electronic Publication: 2024 May 01.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: SLACK Inc Country of Publication: United States NLM ID: 9505927 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1938-2391 (Electronic) Linking ISSN: 1081597X NLM ISO Abbreviation: J Refract Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Thorofare, NJ : SLACK Inc., c1995-
مواضيع طبية MeSH: Keratoconus*/physiopathology , Keratoconus*/metabolism , Keratoconus*/drug therapy , Keratoconus*/surgery , Corneal Stroma*/metabolism , Corneal Stroma*/surgery , Cross-Linking Reagents*/therapeutic use , Visual Acuity*/physiology , Prosthesis Implantation* , Photosensitizing Agents*/therapeutic use , Corneal Topography* , Prostheses and Implants* , Refraction, Ocular*/physiology , Collagen*/metabolism, Humans ; Adult ; Male ; Female ; Retrospective Studies ; Young Adult ; Corneal Pachymetry ; Riboflavin/therapeutic use ; Photochemotherapy/methods ; Adolescent ; Ultraviolet Rays ; Corneal Transplantation/methods ; Middle Aged ; Corneal Cross-Linking
مستخلص: Purpose: To compare the effects of corneal allogenic intrastromal ring segment (CAIRS) implantation on topographical measurements and visual outcomes of patients with keratoconus with and without corneal cross-linking (CXL) prior to the time of implantation.
Methods: Sixty-seven eyes with corneal allograft intrastromal ring segment implantation (KeraNatural; Lions VisionGift) due to advanced keratoconus were included in the study. Thirty-seven eyes had no CXL and 30 eyes had had CXL before being referred to the authors. The changes in spherical equivalent (SE), uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), steep keratometry (K1), flat keratometry (K2), mean keratometry (Kmean), maximum keratometry (Kmax), and thinnest pachymetry were retrospectively analyzed 6 months after the implantation.
Results: The median age was 29 years in the CXL group and 24.0 years in the non-CXL group ( P > .05), respectively. All topographical and visual parameters before implantation were similar in both groups ( P > .05 for all parameters). At 6 months, CDVA, K1, and Kmean showed higher improvement in the non-CXL group than the CXL group ( P = .030, .018, and .039, respectively).
Conclusions: CAIRS surgery has a flattening effect on both the corneas with and without CXL. The cornea with prior CXL treatment had less flattening effect due to the stiffening effect of prior CXL. [ J Refract Surg . 2024;40(6):e392-e397.] .
المشرفين على المادة: 0 (Cross-Linking Reagents)
0 (Photosensitizing Agents)
9007-34-5 (Collagen)
TLM2976OFR (Riboflavin)
تواريخ الأحداث: Date Created: 20240607 Date Completed: 20240607 Latest Revision: 20240607
رمز التحديث: 20240607
DOI: 10.3928/1081597X-20240501-01
PMID: 38848056
قاعدة البيانات: MEDLINE
الوصف
تدمد:1938-2391
DOI:10.3928/1081597X-20240501-01