Seven years follow-up of corneal cross-linking (CXL) in pediatric patients: Evaluation of treated and untreated eye.


Journal

European journal of ophthalmology
ISSN: 1724-6016
Titre abrégé: Eur J Ophthalmol
Pays: United States
ID NLM: 9110772

Informations de publication

Date de publication:
May 2022
Historique:
pubmed: 2 6 2021
medline: 18 5 2022
entrez: 1 6 2021
Statut: ppublish

Résumé

Retrospective cohort study evaluating long term keratoconus progression amongst cross-linking (CXL) treated pediatric patients in the treated and the fellow untreated eyes. Data on 60 eyes of 30 patients, 18 years old or younger, who underwent CXL in at least one eye was collected and analyzed. Follow-up measurements taken from the treated and untreated eye up to 7 years after CXL treatment, were compared to baseline measurements. Parameters included uncorrected distance visual acuity (UCDVA), best-corrected spectacle visual acuity (BCSVA), manifest refraction, pachymetry, corneal tomography, and topography. Mean age of patients was 16 ± 2.1 years. For the treated eyes, during follow-up period mean UCDVA had improved (from 0.78 ± 0.22 at baseline to 0.58 ± 0.26 logMAR at 7 years; CXL is a safe and efficient procedure in halting keratoconus progression in the pediatric population, the fellow eye needs to be carefully monitored but only a 25% of the patients will require CXL in that eye during a period of 7 years.

Sections du résumé

BACKGROUND UNASSIGNED
Retrospective cohort study evaluating long term keratoconus progression amongst cross-linking (CXL) treated pediatric patients in the treated and the fellow untreated eyes.
METHODS UNASSIGNED
Data on 60 eyes of 30 patients, 18 years old or younger, who underwent CXL in at least one eye was collected and analyzed. Follow-up measurements taken from the treated and untreated eye up to 7 years after CXL treatment, were compared to baseline measurements. Parameters included uncorrected distance visual acuity (UCDVA), best-corrected spectacle visual acuity (BCSVA), manifest refraction, pachymetry, corneal tomography, and topography.
RESULTS UNASSIGNED
Mean age of patients was 16 ± 2.1 years. For the treated eyes, during follow-up period mean UCDVA had improved (from 0.78 ± 0.22 at baseline to 0.58 ± 0.26 logMAR at 7 years;
CONCLUSION UNASSIGNED
CXL is a safe and efficient procedure in halting keratoconus progression in the pediatric population, the fellow eye needs to be carefully monitored but only a 25% of the patients will require CXL in that eye during a period of 7 years.

Identifiants

pubmed: 34058903
doi: 10.1177/11206721211020632
doi:

Substances chimiques

Cross-Linking Reagents 0
Photosensitizing Agents 0
Collagen 9007-34-5
Riboflavin TLM2976OFR

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1482-1490

Auteurs

Iliya Simantov (I)

Department of Ophthalmology, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Lior Or (L)

Department of Ophthalmology, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Inbal Gazit (I)

Department of Ophthalmology, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Biana Dubinsky-Pertzov (B)

Department of Ophthalmology, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

David Zadok (D)

Department of Ophthalmology, Shaare Zedek Medical Center, Jerusalem, Israel.
Faculty of Medicine, Hebrew University, Jerusalem, Israel.

Eran Pras (E)

Department of Ophthalmology, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Morris Hartstein (M)

Department of Ophthalmology, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Adi Einan Lifshitz (A)

Department of Ophthalmology, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.
Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

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Classifications MeSH