UV exposure with higher fluence, shorter duration shows promise in corneal cross-linking procedure
BERLIN Corneal cross-linking with shorter duration, higher fluence ultraviolet light exposure appears to be an effective approach, according to one surgeon here.
"With a different modality of administering riboflavin intracorneally ... we can increase UV light fluence and shorten exposure time," John Kanellopoulos, MD, said at the European Society of Cataract and Refractive Surgeons meeting. Dr. Kanellopoulos comparatively evaluated the effects of this procedure in a group of 30 keratoconus patients. Half of them were cross-linked with 7 mW/cm² for 15 minutes and half with the traditional 7 mW/cm² for 30 minutes.
"No difference was found in the results of the two groups. The shorter procedure may, in fact, result in less keratocyte loss," he said.
Dr. Kanellopoulos said he uses this shorter procedure as a prophylactic measure in refractive surgery patients who may be at risk of developing ectasia.