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May 18, 2016Cornea

Wave Front–Guided Photorefractive Keratectomy Using a High-Resolution Aberrometer After Corneal Collagen Cross-Linking in Keratoconus

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Authors

MSMohamed Shafik ShaheenAlexandria UniversityABAhmed Shalaby BardanLeeds Teaching Hospitals NHS TrustDPDavid P. PiñeroUniversity of Alicante

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Implication

Clinical study demonstrates wave front-guided PRK reduces refractive errors and aberrations in keratoconus after cross-linking, indicating effective visual improvement within ablation limits.

Key Points

  • To assess the efficacy of sequential wave front-guided photorefractive keratectomy following corneal collagen cross-linking for correcting refractive errors and higher-order aberrations in keratoconus.
  • Evaluated sequential wave front-guided photorefractive keratectomy (WFG PRK) using the iDesign high-resolution aberrometer and STAR S4 IR excimer laser after corneal collagen cross-linking (CXL).
  • Applied the protocol to mild and moderate keratoconus cases with maximum intended ablation depth constrained to ≤15% of minimal corneal thickness.
  • Sequential WFG PRK effectively corrected spherocylindrical refractive errors in patients with mild and moderate keratoconus.
  • The intervention minimized higher-order optical aberrations, provided the ablation depth remained within 15% of the minimal corneal thickness.

Cite This Study

Shaheen et al. (2016) studied this question.

synapsesocial.com/papers/69d83f578c03fbaff8bee772https://doi.org/10.1097/ico.0000000000000888
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intacs for Keratoconus and Post-LASIK Ectasia2007 · 97 citations
  2. 2The Role of the Mesopic Pupil on Patient-Reported Outcomes in Young Patients With Myopia 1 Month After Wavefront-Guided LASIK2014 · 36 citations
  3. 3Transepithelial Phototherapeutic Keratectomy Protocol for Treating Irregular Astigmatism Based on Population Epithelial Thickness Measurements by Artemis Very High-Frequency Digital Ultrasound2014 · 63 citations
  4. 4Early clinical experience using custom excimer laser ablations to treat irregular astigmatism2000 · 48 citations