Corneal collagen crosslinking CXL ALIREZA PEYMAN MD ISFAHAN

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Corneal collagen cross-linking (CXL) ALIREZA PEYMAN, MD ISFAHAN UNIVERSITY OF MEDICAL SCIENCES http: //www.

Corneal collagen cross-linking (CXL) ALIREZA PEYMAN, MD ISFAHAN UNIVERSITY OF MEDICAL SCIENCES http: //www. drpeyman. ir

CXL with riboflavin and ultraviolet-A irradiation introduced in 1998 Spoerl E, Huhle M, Seiler

CXL with riboflavin and ultraviolet-A irradiation introduced in 1998 Spoerl E, Huhle M, Seiler T. Induction of cross-links in corneal tissue. Exp Eye Res. 1998; 66: 97– 103. http: //www. drpeyman. ir

Indications Cornea ectasias KC PMD Iatrogenic Post-LASIK ectasias keratectasia Infectious ulcers Corneal edema http:

Indications Cornea ectasias KC PMD Iatrogenic Post-LASIK ectasias keratectasia Infectious ulcers Corneal edema http: //www. drpeyman. ir

Importance of age of the patient <10 years old 10 -20 years 20 -30

Importance of age of the patient <10 years old 10 -20 years 20 -30 30 -40 >40 http: //www. drpeyman. ir

Technique Using a wavelength of 370 nm with an accumulated irradiance of 5. 4

Technique Using a wavelength of 370 nm with an accumulated irradiance of 5. 4 J/cm 2 ensures that the exposure of all structures is below harmful levels http: //www. drpeyman. ir

 Epi-Off Epi-On Penetration of riboflavin Role of oxygen http: //www. drpeyman. ir

Epi-Off Epi-On Penetration of riboflavin Role of oxygen http: //www. drpeyman. ir

Irradiation Conventional Accelerated Pulsed http: //www. drpeyman. ir

Irradiation Conventional Accelerated Pulsed http: //www. drpeyman. ir

Complications Significant haze CTK Infection http: //www. drpeyman. ir

Complications Significant haze CTK Infection http: //www. drpeyman. ir

Combinations CXL + ICRS CXL + Microwave keratoplasty (Keraflex) CXL + PRK CXL +

Combinations CXL + ICRS CXL + Microwave keratoplasty (Keraflex) CXL + PRK CXL + LASIK http: //www. drpeyman. ir

Is repeat CXL helpful? http: //www. drpeyman. ir

Is repeat CXL helpful? http: //www. drpeyman. ir

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http: //www. drpeyman. ir

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http: //www. drpeyman. ir

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http: //www. drpeyman. ir

http: //www. drpeyman. ir