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Updated: Sep 6, 2025
Three Different Protocols of Corneal Collagen Crosslinking in Keratoconus: Conventional, Accelerated and Iontophoresis
Published on: November 12, 2015
Visual and Topographic Outcomes of Corneal Collagen Cross Linking for Post LASIK Ectasia
Mohamed H Nasef1, Sharif Y El Emam1, Tamer I Haleem1
1Ophthalmology Department, Faculty of Medicine, Tanta University, Tanta, Gharbia, Egypt.
Purpose:
To assess the topographic and visual outcomes of corneal cross-linking (CXL) for post-LASIK ectasia.
Methods:
A retrospective case series of patients who had progressive post-LASIK ectasia, with at least 2 years of follow-up. They had epithelium-off CXL. Topographical and visual changes were recorded.
Results:
The study included 21 eyes of 11 patients. At month 24, the final logMAR corrected distance visual acuity (CDVA) and spherical equivalent (SE) were stable compared to baseline (0.16, and -2.0 diopter (D), respectively). The final Kmean and Kmax were 42.5 and 47.4 D, respectively. Stability or improvement in CDVA, SE, and Kmax was seen in 17 eyes (81%). Significant corneal thinning was seen (438 vs 457 microns, p = 0.003). Thinning by 2% or more was seen in 12 eyes (57.1%). Failure of CXL was seen in 4 eyes (19%). No other ocular complications were seen.
Conclusion:
CXL for post LASIK ectasia is a safe and effective modality. Despite corneal thinning, there was stability or improvement in topographic parameters and CDVA over the 2-year follow-up period.
