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Everardo Hernandez-Quintela, María Costa-González, Nallely Ramos Betancourt, Manuel Ramirez, Jaime D Martinez, Valeria Sánchez-Huerta; Corneal Collagen Crosslinking for progressive keratoconus: a prognosis factor analysis. Invest. Ophthalmol. Vis. Sci. 2016;57(12):2910.
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© ARVO (1962-2015); The Authors (2016-present)
To identify factors associated with uncorrected distance visual acuity (UDVA) outcome 1 year after corneal collagen crosslinking (CXL) treatment in patients with progressive keratoconus.
A retrospective cohort study was carried out in a high referral ophthalmology centre in Mexico City. Data was collected from medical charts of patients who attended the Cornea Service from 2010 to 2015 with a diagnosis of progressive keratoconus and had undergone crosslinking. Basic demographic information, topographic and refractive data, visual acuity outcomes and, complications were obtained. A total of 191 eyes were included. Predictive factors for analysis included: age, sex, preoperative uncorrected visual acuity, best-corrected visual acuity, steep keratometry, corneal central pachymetry, refractive sphere and, cylinder.
Thirty eyes (50.7 %) have a change of less than 1 line of UDVA, 22 eyes (32.8%) gained 1 line or more and, 11 eyes (16.4%) lost 1 line or more. After a multivariable analysis no factor was found to be associated with postoperative UDVA after 1 year of CXL. Complications reported were pain in 22 cases (15.7%) and haze in 5 eyes (2,6%). No other complications were reported.
No preoperative factors associated with UDVA outcome were found in this study after 1 year of CXL. Other factors that might be involved in the visual prognosis of CXL need to be analyzed
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
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