Document Detail


Corneal infiltrates after corneal collagen cross-linking.
MedLine Citation:
PMID:  20438026     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
PURPOSE: To present a case of advancing keratoconus treated with corneal collagen cross-linking (CXL) with ultraviolet A (UVA) light and riboflavin complicated with sterile infiltrates.
METHODS: The patient's cornea was de-epithelialized and CXL was performed with application of riboflavin and exposure to UVA light (370 nm, 3 mW/cm2) for 30 minutes.
RESULTS: Early in the postoperative period, the patient presented with 11 deep stromal infiltrates of 1 to 2 mm with clear demarked edges in a circle near the limbus with some clear cornea. Corneal cultures were negative. Treatment consisted of antibiotic ofloxacin and tobramycin four times daily, and dexamethasone drops six times daily. After 2 months, scars remained evident.
CONCLUSIONS: This complication has not been reported previously and may be an individual hypersensitivity reaction to the riboflavin or UVA light in the anterior stroma.
Authors:
George F Mangioris; Domniki N Papadopoulou; Miltiadis O Balidis; Jordan L Poulas; Nikolaos Th Papadopoulos; Theo Seiler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of refractive surgery (Thorofare, N.J. : 1995)     Volume:  26     ISSN:  1081-597X     ISO Abbreviation:  J Refract Surg     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2011-05-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505927     Medline TA:  J Refract Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  609-11     Citation Subset:  IM    
Affiliation:
Aristotle University of Thessaloniki and A' University Eye-Clinic, AHEPA Hospital, Thessaloniki, Greece.
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