Giulia Firmani, Christopher Ashton, Scott Hau, Romesh I Angunawela
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引用次数: 0
Abstract
Purpose: We describe a case of late visual deterioration with marked progressive corneal flattening 9 years after crosslinking (CXL) was performed using the Dresden protocol.
Case presentation: This patient with bilateral keratoconus underwent epithelium off crosslinking of the left eye only in 2007. After almost a decade of stability, he developed significant progressive corneal flattening with Descemet and stromal folds without inflammation, and a large hyperopic shift. Confocal microscopy showed keratocyte and sub-basal nerve plexus drop out. The fellow untreated eye was completely normal.
Conclusions: Late-onset complications of CXL are rare, and this case represents an unusually delayed long-term complication. This rare anomaly does raise awareness of the long-term potential for complications after corneal CXL.
期刊介绍：
For corneal specialists and for all general ophthalmologists with an interest in this exciting subspecialty, Cornea brings together the latest clinical and basic research on the cornea and the anterior segment of the eye. Each volume is peer-reviewed by Cornea''s board of world-renowned experts and fully indexed in archival format. Your subscription brings you the latest developments in your field and a growing library of valuable professional references.
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