外显子核黄素与维生素 E TPGS(Ribocross®)交联:一年的结果。

IF 1.4 4区 医学 Q3 OPHTHALMOLOGY
Pietro Paolo Saba, Alessandro Feo, Luca Pagano, Paolo Vinciguerra, Riccardo Vinciguerra
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引用次数: 0

摘要

目的:评估使用核黄素与维生素 E TPGS(Epi-off Ribocross® CXL)进行上皮细胞脱落(epi-off)角膜胶原交联治疗进展性角膜炎(KC)的短期和中期疗效:回顾性、单中心非比较性干预研究:方法:2021 年 5 月至 2022 年 5 月期间在意大利米兰罗扎诺 Humanitas 临床研究中心接受(Epi-off Ribocross® CXL)CXL 治疗并完成至少 12 个月随访的进展性角膜炎患者。对基线和最后一次随访时的可视矫正距离视力(CDVA)、断层参数(Belin ABCD)和地形参数进行了评估:结果:20 名患者的 20 只眼睛符合纳入标准。CDVA 在最后一次随访时保持稳定(从 0.83 ± 0.21 到 0.88 ± 0.19,p = 0.45),圆柱度显著下降(从 2.78 ± 2.19 到 1.97 ± 1.69,p = 0.03)。Kmax 从 53.18D ± 6.32 显著提高到 50.96 ± 5.3D(p = 0.005)。在最后一次随访中,没有发现病情恶化的病例:结论:事实证明,Epi-off Ribocross® CXL 是一种治疗进展期 KC 的安全方法,所有病例在一年的随访中均趋于稳定。需要进一步的研究来证实其长期稳定性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epi-off riboflavin with vitamin E TPGS (Ribocross®) cross-linking: one-year outcome.

Purpose: To assess the short and mid-term outcomes of epithelium-off (epi-off) corneal collagen cross-linking using Riboflavin with Vitamin E TPGS (Epi-off Ribocross® CXL) for progressive keratoconus (KC).

Design: Retrospective, single-center non-comparative interventional study.

Methods: Patients with progressive keratoconus who underwent CXL using (Epi-off Ribocross® CXL) from May 2021 to May 2022 who completed at least 12 months of follow-up in Humanitas Clinical and Research Center, Rozzano, Milan, Italy. Corrected distance visual acuity with spectable (CDVA), tomographic parameters (Belin ABCD) and topographic parameters were evaluated at baseline and at last follow up.

Results: Twenty eyes of twenty patients fulfilled inclusion criteria. CDVA remained stable at last follow up (0.88 ± 0.19 from 0.83 ± 0.21, p = 0.45) with a significant reduction in cylinder (1.97 ± 1.69 from 2.78 ± 2.19, p = 0.03). Kmax significantly improved from 53.18D ± 6.32 to 50.96 ± 5.3D (p = 0.005). At the last follow up, no case of progression was noted.

Conclusions: Epi-off Ribocross® CXL proved to be a safe treatment for progressive KC, with a stabilization of all cases at the one year follow up. Further studies are needed to confirm long-term stability.

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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
451
期刊介绍: International Ophthalmology provides the clinician with articles on all the relevant subspecialties of ophthalmology, with a broad international scope. The emphasis is on presentation of the latest clinical research in the field. In addition, the journal includes regular sections devoted to new developments in technologies, products, and techniques.
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