Corneal Cross-Linking

Postoperative pain is the No. 1 complaint among our surgical patients, especially among those undergoing corneal cross-linking, which involves the creation of a 9-mm corneal epithelial defect.

Penetrating keratoplasty is an effective procedure that can restore sight for patients. However, it is not without significant risks and burdens, especially for young people who may need a second or even third graft during their lifetime.

Most eyes with keratoconus or corneal ectasia after laser refractive surgery remained stable 10 years after corneal cross-linking, although eyes with keratoconus appeared to be more stable, according to a study in Eye & Contact Lens.

BOSTON — In this Healio Video Perspective from the ASCRS meeting, Michael B. Raizman, MD, ABO, discusses the future of corneal cross-linking.

When children and teens present with early onset of keratoconus, we often see severe disease and rapid progression.

Optometrists are often first to diagnose a patient with keratoconus and hold a great responsibility for referring patients for corneal cross-linking in a timely manner.

FRANKFURT, Germany — The ELZA epi-on corneal cross-linking protocol provides biomechanical stiffening comparable to epi-off CXL, without iontophoresis or additional oxygen, in the office at the slit lamp.

FRANKFURT, Germany — Intrastromal lamellar keratoplasty combined with collagen cross-linking enhances the tectonic stability and biomechanical strength of keratoconic corneas while flattening the cornea and improving visual acuity.

FRANKFURT, Germany — Corneal allogenic intrastromal ring segment implantation has more flattening effect on the cone when performed in corneas that have not previously undergone corneal cross-linking, according to a study.

FRANKFURT, Germany — Proxymetacaine drops are one strategy to reduce postoperative pain after epi-off cross-linking, according to a study conducted at a U.K. hospital.