Rev Bras Oftalmol.2009;68(3):138-145

Addictive treatment of keratoconus with collagen crosslinking after Ferrara ring implant

Edna , Steve , Juliana , Paulo

DOI: 10.1590/S0034-72802009000300004

PURPOSE: To describe our experience with crosslinking after Ferrara ring implant for better vision and corneal stabilization. METHODS: six patients with age of 26 – 38 years old had treatment with crosslinking after Ferrara ring implant. Five patients had 2 ring segments implanted and one patient had one segment implanted. After 4 to 55 months the patients were submitted to crosslinking with UVA light according to Seiler et al protocol. RESULTS: Four eyes had progressive alteration of refraction and 2 patients had no alteration of refraction. The topography showed flattener curvature and at the slip lamp 100% of the eyes had good depth after one year post operatively. The specular microscopy didn’t show any significant alteration and the visual acuity was similar before the procedure. CONCLUSION: The crosslinking may help to maintain stable keratoconus, not only in progression cases, but also in evolutive keratoconus with ring implant.

Addictive treatment of keratoconus with collagen crosslinking after Ferrara ring implant

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