corneal crosslinking

Opportunities and challenges in the world of ophthalmology in 2018As another year comes to an end, five members of Ophthalmology Times Europe’s Editorial Advisory Board reflect and share their perspectives on the exciting opportunities that lie ahead for ophthalmologists in 2018, whilst also considering the potential challenges.
Top 10 questions about cross-linkingKeratoconus treatment has changed much over the past several years. Avedro’s U.S. Food and Drug Administration (FDA) approval of corneal cross-linking has given more patients hope for better vision.
Surgical pearls for CXL treatment of keratoconus, corneal ectasia
Surgical pearls for CXL treatment of keratoconus, corneal ectasiaOn the heels of the recent FDA approval of corneal collagen crosslinking, some surgical pearls are provided for the treatment of progressive keratoconus and corneal ectasia.
Expanding pool of CXL candidates to eyes with thin corneasContact lens-Assisted corneal crosslinking (CA-CXL) is a novel technique in which a riboflavin-soaked ultraviolet (UV) barrier-free soft contact lens is applied over the denuded cornea prior to UVA irradiation. It is used to allow CXL in eyes with a thin cornea and has been associated with good results, and can be done with a standard or accelerated CXL protocol.
Corneal crosslinking shows favorable long-term outcomesStudies with follow-up of 2 to 6 years show that corneal crosslinking for progressive keratectasia is safe and induces long-term structural changes.
Why prompt CXL treatment vital in keratoconus diagnosisChildren and adolescents with keratoconus may have rapid progression between the ages of 8 and 19 years and immediate treatment with corneal crosslinking may stop that progression.
CXL-LASIK reinforces cornea stabilityPerforming collagen crosslinking as a concurrent primary LASIK procedure—show data from comparative studies of patients with hyperopia and myopia at risk for ectasia or regression postLASIK—increases postoperative refractive and keratometric stability.
Scleral crosslinking mimics age-related ocular rigidityThe Laser Anterior Ciliary Excision procedure uses laser scleral micro-excisions to alter ocular rigidity to rejuvenate aging sclera.
CXL research focuses on evolving techniques, emerging indicationsCorneal crosslinking using the current technique is safe and effective for stabilizing eyes with progressive corneal ectasia, but new treatment protocols and new indications are emerging.