VIDEO: Second-generation customized cross-linking shows good outcomes
Key takeaways:
- PTK-assisted epi-on cross-linking leads to selective corneal curvature changes.
- This customized approach could be a paradigm shift in the management of keratoconus, leading to improved visual outcomes.
VILAMOURA, Portugal — At the ESCRS winter meeting, Emilio Torres-Netto, MD, PhD, speaks about the advantages of PTK-assisted customized epi-on cross-linking, or PACE.
With this second-generation customized approach, the cornea is not only regularized, but it undergoes curvature changes that improve vision.
“In a case presented here, we obtained a flattening effect of 7 D within a few weeks, which remained stable in the following months,” Torres-Netto said.
This technique could be a true paradigm shift in the management of patients with keratoconus.
“If we have a patient with cataract and keratoconus, we could first improve the cornea with PACE and then calculate the IOL more precisely and even use a toric IOL,” he said.
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Torres-Netto E. PACE: PTK-assisted customized epi-on CXL. Presented at: European Society of Cataract and Refractive Surgeons winter meeting; March 10-12, 2023; Vilamoura, Portugal.
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