Journal of Eye Diseases and Disorders

Abstract

Advanced Tope-guided/Oculink PRK and CXL Beneficial for the Visual Outcome in Patients with Keratoconus, Corneal Ecstasia and Thin Corneas

Klajda Bardhi*, Jonid Bilbili and Minir Asani

Aim: To stop the keratoconus or the progression of the corneal thinning, to reduce the irregular astigmatism and improve BCVA. 6 year study and follow up of the first patients usually every 2-3 patients every month, almost 120 patients in 6 year.

Methods: PRK using Wave light eximer EX 500 nm and CXL UV 300 nm. To these procedures, we added a combined treatment referring to Oculink or topography guided to ameliorate the cornea irregularities-also using Vibex Rapid which is with a twice diffusion rate than the standard riboflavin.

Election of the candidates: Not all the patients with keratoconus can succeed to topography guided PRK+CXL +oculink/topography guided+Vibex rapid – the most probable are Kc1, Kc1-Kc2, kc2 with k1-K2 not too high.

Conclusion: Topography guided PRK+CXL is the most adequate method of stopping and improving the vision in patient with keratoconus, and in irregular astigmatism, or thin corneas topography guided is a safer method for not having complications in time, the goal of treatment is to flatten the steepest part of the cornea and to steepen the flattest area of the cornea.

Published Date: 2019-11-28; Received Date: 2019-11-12