Corneal cross-linking v liečbe keratokónusu--výsledky a komplikácie v dvojročnom sledovaní
[Treatment of Keratoconus with Corneal Cross-linking--Results and Complications in 2 Years Follow-up]
Jazyk čeština Země Česko Médium print
Typ dokumentu srovnávací studie, časopisecké články
PubMed
26201362
PII: 52695
- MeSH
- časové faktory MeSH
- dospělí MeSH
- fotochemoterapie metody MeSH
- fotosenzibilizující látky terapeutické užití MeSH
- keratokonus diagnóza farmakoterapie MeSH
- kolagen * MeSH
- lidé MeSH
- následné studie MeSH
- pachymetrie rohovky MeSH
- progrese nemoci MeSH
- prospektivní studie MeSH
- reagencia zkříženě vázaná terapeutické užití MeSH
- výsledek terapie MeSH
- zraková ostrost účinky léků MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- srovnávací studie MeSH
- Názvy látek
- fotosenzibilizující látky MeSH
- kolagen * MeSH
- reagencia zkříženě vázaná MeSH
OBJECTIVE: The objective of the study was to assessment of changes of monitored parameters after CXL. Incidence of complications were assessed in the whole group and in groups of patients divided according to the selected criteria. Evaluated parameters were also relations between them and in time. METHODS: The 86 eyes of patients with progressive keratoconus who underwent CXL according to the Dresden protocol in the years 2007-2009 at the Ophthalmic clinic FN Brno Bohunice were included in this study. RESULTS: There was observed significant increase of BCVA (letters--before CXL 42,30±10,35, 1st year after CXL (1Y) 44,68±10,04, p<0,01, 2nd year after CXL (2Y) 44,44±10,57, p<0,01) and SE (-5,95±3,98D, -5,27±3,84D, p<0,01, -4,94±3,68D, p<0,01), and decrease of maximum curvature of the cornea (MAX--before CXL 50,39±4,17D, 1Y 49,46±4,13D, p<0,01, 2Y 49,42±4,14D, p<0,01). Change of ultrasound CCT, polymegatisms, pleomorfisms and corneal endothelial cell density was not significant. The value of MAX is the most important parameter in estimating the effect of CXL. The highest incidence of corneal opacity after CXL was observed in the eyes of patients with III. stage of keratoconus over 40 years old, carrying hard contact lenses and with biomikroskopic symptom of keratoconus on the cornea. We found that corneal thickness measurement with Orbscan II and the mesurement of IOP with noncontact method is incorrect by patients after CXL. CONCLUSION: Corneal cross-linking of the cornea is safe and effective procedure of stopping the progression of keratoconus in 97% of eyes in the period up to 2 years after CXL.