alexa Clinical Results Of Keratoconus Patients Treated With Corneal Collagen Cross-linking Alone Versus Corneal Collagen Cross-linking Combined With Intacs Implantation
ISSN: 2155-9570

Journal of Clinical & Experimental Ophthalmology
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10th International Conference on Clinical & Experimental Ophthalmology
November 21-23, 2016 Dubai, UAE

Indra Prasad Sharma, Ramendra Bakshi, Monica Chaudhry and Aparna Gupta
Mongar Regional Referral Hospital, Bhutan
Eye7 Chaudhry Eye Centre, India
Amity University Gurgaon, India
Posters & Accepted Abstracts: J Clin Exp Ophthalmol
DOI: 10.4172/2155-9570.C1.049
Background: The study aims to compare the refractive and topographic outcomes of keratoconic eyes treated with Corneal Collagen cross-linking (CXL) alone versus corneal collagen cross-linking (CXL) combined with intacs implantation. Design: A prospective comparative study. Participants: The study recruited 38 eyes of 30 consecutive progressive keratoconus patients. Methods: In Group-I, 24 eyes were treated with CXL alone and in Group-II, 14 eyes underwent CXL combined with simultaneous femtosecond-assisted intacs implantation. Visual acuity, refraction and corneal topography were assessed and compared between the two groups at baseline, three months and six months. Result: The mean age of participants was 26.5±7.9 (range 15-51) years. The average of follow up was 6.66±0.68 (range 5.5-8). At the final follow up, Group II (CXL combined with intacs) resulted in an additional improvement of uncorrected distance visual acuity (UDVA) by 0.2 Log units (p≤0.05), spherical power by 0.80 dioptre (p≤0.05) and cylindrical by 2.10 D (p≤0.05). Flattening of 1.5D more both mean keratometry (Kmean) and steepest keratometry (Kmax) also flattened by 1.50 dioptre with the combined procedure. Corneal volume decreased in Group I whereas, there was an increase by 2.89 mm in the combined procedure. Conclusion: Refractive and topographic outcomes improved post-operatively in both the groups; however, the simultaneously combined procedure provided significantly better results. The refractive outcomes in both groups were independent of gender, age and the eye involved.

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