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Corneal collagen cross-linking slows keratoconus progression in children
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CHICAGO — Corneal collagen cross-linking with riboflavin slowed the progression of keratoconus in children, a speaker said here.
The procedure also reduced astigmatism, Mahipal S. Sachdev, MD, said during Refractive Surgery Subspecialty Day preceding the joint meeting of the American Academy of Ophthalmology and Asia Pacific Academy of Ophthalmology.
“Cross-linking is a safe and effective procedure in children with progressive keratoconus,” Sachdev said.
Sachdev presented results of a study that included 26 eyes of 15 children with progressive keratoconus. Mean patient age was 13.86 years. Investigators evaluated best corrected visual acuity, dilated refraction and corneal topography. Mean follow-up was 24.57 months.
Study results showed that mean keratometry improved from 51.96 D preoperatively to 48.73 D postoperatively.
Corneal thickness decreased from 455.8 µm preoperatively to 400 µm postoperatively. BCVA improved in all eyes, and no complications were reported.
“The results show stabilization and improvement of keratoconus in all the cases,” Sachdev said.
Further study with a larger patient group is warranted, he said.
Disclosure: Sachdev is a consultant for and has received lecture fees from Abbott Medical Optics.