By A. Garg, et. al.
Written through the key experts from all over the world, this complete color textual content describes and punctiliously illustrates cutting-edge diagnostic and remedy modalities for the cornea and refractive surgical procedure specifically. - offers particular discussions and professional counsel on visible rehabilitation with corneal collagen cross-linking. - It combines entities : riboflavin or diet B2, that is a obviously taking place phostoensitizer and ultraviolet mild
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Written by means of the major experts from worldwide, this complete color textual content describes and carefully illustrates state of the art diagnostic and remedy modalities for the cornea and refractive surgical procedure specifically. - provides targeted discussions and specialist tips on visible rehabilitation with corneal collagen cross-linking.
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Binder PS. Ectasia after laser in situ keratomileusis. J Cataract Refract Surg 2003;29:2419-29. 14. Faraj HG, Gatinel D, Chastang PJ, Hoang-Xuan T. Corneal ectasia after LASIK. J Cataract Refract Surg 2003;29:220. 15. Randleman J, Woodward M, Lynn M, Stulting RD. Risk assessment for ectasia after corneal refractive surgery. Ophthalmology 2008;115:37-50. 20 16. Wang JC, Hufnagel TJ, Buxton DF. Bilateral keratectasia after unilateral laser in situ keratomileusis: A retrospective diagnosis of ectatic corneal disorder.
Apart from this, certain criteria regarding patient selection and treatment should be adhered to in order to minimize risk. In particular large treatments in corneas with 500µ thickness should be avoided. There should be a move to cutting thin flaps and if there is any doubts particularly in patients with mild to moderate myopia LASEK should be the treatment of choice. Many surgeons perform intra-operative pachymetry and this is to be encouraged. A few of the newer technologies allow for the creation of flaps as thin as 80µm but as yet have no hard data on the efficacy of such flaps.
Exp Eye Res 1967;6:356-7. 3. Daxer A, Misof K, Grabner B, Ettl A, Fratzi P. Collagen fibrils in the human corneal stroma:Structure and aging. Invest Ophthalmol Vis Sci 1998;39:644-48. 4. Wollensak G, Spoerl E, Seiler T. Riboflavin/ultraviolet A-induced collagen cross-linking for the treatment of keratoconus. Am J Ophthalmol 2003;135:620-27. 5. Wollensak G. Cross-linking treatment of progressive keratoconus: new hope. Current Opinion In Ophthalmology 2006;17:356-60. 6. Caporossi A, Baiocchi S, Mazzotta C, Traversi C, Caporossi T.