Combined Corneal Collagen Cross-Linking and Posterior Chamber Toric Implantable Collamer Lens Implantation for Keratoconus

Kymionis, George D.; Grentzelos, Michael A.; Karavitaki, Alexandra E.; Zotta, Paraskevi G; Yoo, Sonia H.; Pallikaris, Ioannis G.

doi:10.3928/15428877-20110210-05

Cited by 41 publications

(26 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Secondary use of TICLs have focused on the correction of the residual refractive error after progressive keratoconus was stabilized by CXL[1314] or after management of the irregular astigmatism induced by an eccentric cone with or without adjunct CXL. [681516] These results demonstrate the complementary goals of each treatment modality.…”

Section: Discussionmentioning

confidence: 99%

Toric implantable collamer lens for keratoconus

Kummelil

Hemamalini

Bhagali

et al. 2013

Indian J Ophthalmol

View full text Add to dashboard Cite

Keratoconus is a progressive non-inflammatory thinning of the cornea that induces myopia and irregular astigmatism and decreases the quality of vision due to monocular diplopia, halos, or ghost images. Keratoconus patients unfit for corneal procedures and intolerant to refractive correction by spectacles or contact lenses have been implanted toric posterior chamber phakic intraocular lenses (PC pIOLs) alone or combined with other surgical procedures to correct the refractive errors associated with keratoconus as an off label procedure with special informed consent from the patients. Several reports attest to the safety and efficacy of the procedure, though the associated corneal higher order aberrations would have an impact on the final visual quality.

show abstract

Section: Discussionmentioning

confidence: 99%

Toric implantable collamer lens for keratoconus

Kummelil

Hemamalini

Bhagali

et al. 2013

Indian J Ophthalmol

View full text Add to dashboard Cite

show abstract

“…Also, anticipating a flattening effect of collagen crosslinking, undercorrection with photore-fractive keratectomy by about 30% in both sphere and cylinder is targeted. Other approaches tried for visual improvement include two-step procedures, such as toric ICL implantation 6–12 months after collagen crosslinking in progressive kera-toconus, and toric ICL implantation 6–10 months after Intacs implantation in keratoconic eyes with extreme myopia 135–137. An inherent problem with combining different procedures is trying to judge the relative effect of each on the eye being treated, particularly given insufficient interval between procedures.…”

Section: Managementmentioning

confidence: 99%

Keratoconus: current perspectives

Vazirani

Basu²

2013

OPTH

106

View full text Add to dashboard Cite

Keratoconus is characterized by progressive corneal protrusion and thinning, leading to irregular astigmatism and impairment in visual function. The etiology and pathogenesis of the condition are not fully understood. However, significant strides have been made in early clinical detection of the disease, as well as towards providing optimal optical and surgical correction for improving the quality of vision in affected patients. The past two decades, in particular, have seen exciting new developments promising to alter the natural history of keratoconus in a favorable way for the first time. This comprehensive review focuses on analyzing the role of advanced imaging techniques in the diagnosis and treatment of keratoconus and evaluating the evidence supporting or refuting the efficacy of therapeutic advances for keratoconus, such as newer contact lens designs, collagen crosslinking, deep anterior lamellar keratoplasty, intracorneal ring segments, photorefractive keratectomy, and phakic intraocular lenses.

show abstract

“…keratectomy (PRK), 14 and phakic intraocular lenses (IOL) 15,16 alone or in combination [17][18][19] have been proposed to delay or even prevent the need for corneal transplantation. In addition, new techniques of keratoplasty have been developed such as deep anterior lamellar keratoplasty (DALK) 20,21 and femtosecond laser-assisted corneal transplantation.…”

mentioning

confidence: 99%