Corneal collagen cross-linking in combination with phototherapeutic keratostromectomy in the treatment of induced corneal dystrophy. A problem analysis and a case report

• Main Authors: D. P. Skachkov, Y. A. Drovnyak, A. L. Shtilerman
• Format: Article
• Language: Russian
• Published: Publishing house "Ophthalmology" 2019-11-01
• Series: Офтальмохирургия
• Subjects: keratopathy; cross-linking; phototherapeutic keratostromectomy
• Online Access: https://www.ophthalmosurgery.ru/jour/article/view/524

Purpose. An evaluation of the efficiency of corneal collagen crosslinking in combination with phototherapeutic keratostromectomy in the treatment of a patient with i nduced corneal dystrophy.Materials and methods. In case of a failure of therapeutic methods in the treatment of induced keratopathy, for a 25-year-old patient who was cross-linked using the UFALINK device and phototherapeutic keratostromectomy using the NIDEK 5000 excimer laser at 3 stages of the disease, 5 years after the start of the standard therapy.Results. Cross-linking was carried out as the first stage for the patient; then after 1 month the phototherapeutic keratostromectomy was performed. The postoperative period was without complication. The examination a week later showed that, there was a complete absence of subjective symptoms (pain, tearing, foreign body sensation, photophobia), and the edema of all layers of the cornea was significantly reduced. The visual acuity of the oper ated eye increased from 0.02 to 0.2.Conclusion. The use of corneal collagen cross-linking in combination with phototherapeutic keratostromectomy in the treatment of patients with induced corneal dystrophy leads to a reduction of corneal syndrome and an increase in visual acuity.