cross-linking are the increase of biomechanical Clinical issue. The reduced corneal mechanical Assessment. In a Cochrane review from 2015 stiﬀness, the increased resistance against publications about complications and results stability in keratoconus and similar collagen diseases can lead to a progressive and enzymatic degradation, a higher shrinkage were reviewed. Complication rates ranged temperature, a lower swelling rate and an irregular corneal shape and decrease of visual from 1–10% depending on the initial situation, increased diameter of collagen ﬁbers. The acuity. comorbidities and stage of the keratoconus. currently available data demonstrate that the Diagnostics. A progression of keratectatic The most important complications are early therapeutic cross-linking procedure is safe diseases can be shown with corneal epithelial wound healing problems as well as when respecting the important theoretical topography. extremely rare perforations. and clinical parameters and that a progression Treatment. Keratoconus can be treated by Practical recommendations. Corneal of the keratoconus can be avoided. In 80% of photo-oxidative cross-linking of the corneal cross-linking is a well-established and safe cases an average levelling of the curvature of collagen. In order to achieve a high absorption procedure but is not free of complications. approximately 2 dpt can be achieved, which of irradiation energy
Der Ophthalmologe – Springer Journals
Published: May 24, 2017
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