Customized pachymetric guided epithelial debridement for corneal collagen cross linking

George D. Kymionis, Vasilios F. Diakonis, Efekan Coskunseven, Mirco Jankov, Sonia H Yoo, Ioannis G. Pallikaris

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Backround. We describe a modified method for deepitheliazation prior to corneal cross linking (CXL). The technique may overcome the current corneal pachymetric limitation parameter (over 400 microns) that is necessary for the safety of the procedure without affecting the overall benefits. Methods. In a series of two patients, with inferior topographic steepening and regional thinning (less than 400 microns corresponding to the area of corneal steepening), CXL after customized epithelial removal was performed. Results. There were no intra- or postoperative adverse events seen by the nine month follow up examination. Stabilization of the corneal ectasia was observed up to nine months post-costumized pachymetric-guided epithelial removal. Conclusion. The technique of customized pachymetric-guided epithelial removal is easy to perform and may overcome the limitations of the preoperative corneal pachymetry expanding the application of the procedure in patients with regional corneal thinning.

Original languageEnglish
Article number10
JournalBMC Ophthalmology
Volume9
Issue number1
DOIs
StatePublished - Sep 21 2009

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Debridement
Collagen
Corneal Pachymetry
Pathologic Dilatations
Safety

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Kymionis, G. D., Diakonis, V. F., Coskunseven, E., Jankov, M., Yoo, S. H., & Pallikaris, I. G. (2009). Customized pachymetric guided epithelial debridement for corneal collagen cross linking. BMC Ophthalmology, 9(1), [10]. https://doi.org/10.1186/1471-2415-9-10

Customized pachymetric guided epithelial debridement for corneal collagen cross linking. / Kymionis, George D.; Diakonis, Vasilios F.; Coskunseven, Efekan; Jankov, Mirco; Yoo, Sonia H; Pallikaris, Ioannis G.

In: BMC Ophthalmology, Vol. 9, No. 1, 10, 21.09.2009.

Research output: Contribution to journalArticle

Kymionis, GD, Diakonis, VF, Coskunseven, E, Jankov, M, Yoo, SH & Pallikaris, IG 2009, 'Customized pachymetric guided epithelial debridement for corneal collagen cross linking', BMC Ophthalmology, vol. 9, no. 1, 10. https://doi.org/10.1186/1471-2415-9-10
Kymionis, George D. ; Diakonis, Vasilios F. ; Coskunseven, Efekan ; Jankov, Mirco ; Yoo, Sonia H ; Pallikaris, Ioannis G. / Customized pachymetric guided epithelial debridement for corneal collagen cross linking. In: BMC Ophthalmology. 2009 ; Vol. 9, No. 1.
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