Corneal crosslinking efficacy in patients with keratoconus under 18 years of age
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos brasileiros de oftalmologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492021000400324 |
Resumo: | ABSTRACT Purpose: Keratoconus presents certain specificities in pediatric patients compared with adults. The greatest challenge is because the disease is typically more severe and progresses faster in children. This retrospective study aimed to report crosslinking procedure in patients under 18 years of age and their follow-up for at least 24 months after the procedure. Methods: Overall, 12 eyes from 10 patients were studied and data, such as visual acuity with and without correction, maximum keratometry, corneal thickness, foveal thickness, and endothelial microscopy, were assessed at both preoperative and postoperative visits. Corneal crosslinking was performed in all patients. Results: A tendency toward reduced Kmax and improved Corrected Distance Visual Acuity at all postoperative moments. Only one of the 12 eyes exhibited increased Kmax of more than 1 D during a time frame longer than 12 months. Regarding pachymetry, a tendency for corneal thinning was observed in the first four months after surgery. Conclusion: Encouraging results were obtained regarding the stabilization of the disease, progression, and procedural safety, corroborating to other authors’ findings. The significance of early diagnosis and short-term follow-up were highlighted. |
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Arquivos brasileiros de oftalmologia (Online) |
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Corneal crosslinking efficacy in patients with keratoconus under 18 years of ageKeratoconus/diagnosisKeratoconus/drug therapyCorneaCorneal diseasesCorneal topographyCollagen/metabolismUltraviolet raysCross-linking reagents/therapeutic useRiboflavin/therapeutic useVisual acuityAdolescentABSTRACT Purpose: Keratoconus presents certain specificities in pediatric patients compared with adults. The greatest challenge is because the disease is typically more severe and progresses faster in children. This retrospective study aimed to report crosslinking procedure in patients under 18 years of age and their follow-up for at least 24 months after the procedure. Methods: Overall, 12 eyes from 10 patients were studied and data, such as visual acuity with and without correction, maximum keratometry, corneal thickness, foveal thickness, and endothelial microscopy, were assessed at both preoperative and postoperative visits. Corneal crosslinking was performed in all patients. Results: A tendency toward reduced Kmax and improved Corrected Distance Visual Acuity at all postoperative moments. Only one of the 12 eyes exhibited increased Kmax of more than 1 D during a time frame longer than 12 months. Regarding pachymetry, a tendency for corneal thinning was observed in the first four months after surgery. Conclusion: Encouraging results were obtained regarding the stabilization of the disease, progression, and procedural safety, corroborating to other authors’ findings. The significance of early diagnosis and short-term follow-up were highlighted.Conselho Brasileiro de Oftalmologia2021-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492021000400324Arquivos Brasileiros de Oftalmologia v.84 n.4 2021reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.5935/0004-2749.20210046info:eu-repo/semantics/openAccessDiniz,Evandro RibeiroBarbosa,Júlia CarvalhoJacometti,RaízaSouza,Renata Tavares SilvaKanadani,Fábio Nishimuraeng2021-07-12T00:00:00Zoai:scielo:S0004-27492021000400324Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2021-07-12T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false |
dc.title.none.fl_str_mv |
Corneal crosslinking efficacy in patients with keratoconus under 18 years of age |
title |
Corneal crosslinking efficacy in patients with keratoconus under 18 years of age |
spellingShingle |
Corneal crosslinking efficacy in patients with keratoconus under 18 years of age Diniz,Evandro Ribeiro Keratoconus/diagnosis Keratoconus/drug therapy Cornea Corneal diseases Corneal topography Collagen/metabolism Ultraviolet rays Cross-linking reagents/therapeutic use Riboflavin/therapeutic use Visual acuity Adolescent |
title_short |
Corneal crosslinking efficacy in patients with keratoconus under 18 years of age |
title_full |
Corneal crosslinking efficacy in patients with keratoconus under 18 years of age |
title_fullStr |
Corneal crosslinking efficacy in patients with keratoconus under 18 years of age |
title_full_unstemmed |
Corneal crosslinking efficacy in patients with keratoconus under 18 years of age |
title_sort |
Corneal crosslinking efficacy in patients with keratoconus under 18 years of age |
author |
Diniz,Evandro Ribeiro |
author_facet |
Diniz,Evandro Ribeiro Barbosa,Júlia Carvalho Jacometti,Raíza Souza,Renata Tavares Silva Kanadani,Fábio Nishimura |
author_role |
author |
author2 |
Barbosa,Júlia Carvalho Jacometti,Raíza Souza,Renata Tavares Silva Kanadani,Fábio Nishimura |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Diniz,Evandro Ribeiro Barbosa,Júlia Carvalho Jacometti,Raíza Souza,Renata Tavares Silva Kanadani,Fábio Nishimura |
dc.subject.por.fl_str_mv |
Keratoconus/diagnosis Keratoconus/drug therapy Cornea Corneal diseases Corneal topography Collagen/metabolism Ultraviolet rays Cross-linking reagents/therapeutic use Riboflavin/therapeutic use Visual acuity Adolescent |
topic |
Keratoconus/diagnosis Keratoconus/drug therapy Cornea Corneal diseases Corneal topography Collagen/metabolism Ultraviolet rays Cross-linking reagents/therapeutic use Riboflavin/therapeutic use Visual acuity Adolescent |
description |
ABSTRACT Purpose: Keratoconus presents certain specificities in pediatric patients compared with adults. The greatest challenge is because the disease is typically more severe and progresses faster in children. This retrospective study aimed to report crosslinking procedure in patients under 18 years of age and their follow-up for at least 24 months after the procedure. Methods: Overall, 12 eyes from 10 patients were studied and data, such as visual acuity with and without correction, maximum keratometry, corneal thickness, foveal thickness, and endothelial microscopy, were assessed at both preoperative and postoperative visits. Corneal crosslinking was performed in all patients. Results: A tendency toward reduced Kmax and improved Corrected Distance Visual Acuity at all postoperative moments. Only one of the 12 eyes exhibited increased Kmax of more than 1 D during a time frame longer than 12 months. Regarding pachymetry, a tendency for corneal thinning was observed in the first four months after surgery. Conclusion: Encouraging results were obtained regarding the stabilization of the disease, progression, and procedural safety, corroborating to other authors’ findings. The significance of early diagnosis and short-term follow-up were highlighted. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492021000400324 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492021000400324 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/0004-2749.20210046 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Oftalmologia v.84 n.4 2021 reponame:Arquivos brasileiros de oftalmologia (Online) instname:Conselho Brasileiro de Oftalmologia (CBO) instacron:CBO |
instname_str |
Conselho Brasileiro de Oftalmologia (CBO) |
instacron_str |
CBO |
institution |
CBO |
reponame_str |
Arquivos brasileiros de oftalmologia (Online) |
collection |
Arquivos brasileiros de oftalmologia (Online) |
repository.name.fl_str_mv |
Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO) |
repository.mail.fl_str_mv |
aboonline@cbo.com.br||abo@cbo.com.br |
_version_ |
1754209031350648832 |