Sanchez-Gonzalez, Jose-Maria, Rocha-de-Lossada, Carlos, Borroni, Davide 
ORCID: 0000-0001-6952-5647, De-Hita-Cantalejo, Concepcion and Alonso-Aliste, Federico
(2022)
Prophylactic corneal crosslinking in myopic small-incision lenticule extraction - Long-term visual and refractive outcomes.
INDIAN JOURNAL OF OPHTHALMOLOGY, 70 (1).
pp. 73-78.
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Abstract
<h4>Purpose</h4>To analyze the efficacy, safety, predictability, and stability in myopic and astigmatic small-incision lenticule extraction (SMILE) with simultaneous prophylactic corneal crosslinking (CXL) in thin corneas.<h4>Methods</h4>A total of 48 eyes from 24 patients who underwent myopic and astigmatism SMILE with simultaneous prophylactic CXL were included in this retrospective study. All patients had a 24-month follow-up. A femtosecond laser was performed with VisuMax (Carl Zeiss Meditec). CXL treatment was applied when the predicted stromal thickness was less than 330 μm.<h4>Results</h4>The patients' mean age was 31.58 ± 6.23 years. The previous mean spherical equivalent was - 6.85 ± 1.80 (-9.75 to - 2.00) D. The postoperative mean spherical equivalent was - 0.50 ± 0.26 (-1.00 to + 0.25) D; 60% of the eyes had 20/20 or better; 19% lost one line; 58% were within ± 0.50 D; and 8.3% of the eyes changed 0.50 D or more between 3 and 24 months.<h4>Conclusion</h4>Prophylactic CXL with simultaneous SMILE for myopia and astigmatism femtosecond laser surgery technique appears to be partially effective, safe, predictable, and stable after 24 months of follow-up.
| Item Type: | Article |
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| Uncontrolled Keywords: | Corneal crosslinking, refractive surgery, small incision lenticule extraction, SMILE, XTRA |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 01 Nov 2022 15:00 |
| Last Modified: | 17 Mar 2024 13:22 |
| DOI: | 10.4103/ijo.IJO_810_21 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3165944 |
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