Cited 9 times in
One-Year Efficacy and Safety of Combined Photorefractive Keratectomy and Accelerated Corneal Collagen Cross-Linking after Intacs SK Intracorneal Ring Segment Implantation in Moderate Keratoconus
DC Field | Value | Language |
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dc.contributor.author | 서경률 | - |
dc.date.accessioned | 2022-08-16T08:24:37Z | - |
dc.date.available | 2022-08-16T08:24:37Z | - |
dc.date.issued | 2019-07 | - |
dc.identifier.issn | 2314-6133 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/188972 | - |
dc.description.abstract | Purpose: To report one-year outcomes of a modified version of two-stage multimodal surgical protocol for moderate keratoconus which has been suggesting promising preliminary results. Materials and methods: 30 eyes of 25 patients with moderate keratoconus who exhibited visual complaints and/or disease progression were included for this retrospective case study. Approximately 3 months after implantation of intracorneal ring segment (Intacs SK™), a combination of corneal wavefront-guided transepithelial photorefractive keratectomy (CWG-transPRK, Schwind Amaris® 1050, and Schwind Sirius) and accelerated collagen cross-linking (accCXL, Avedro KXL™) was performed. Patients were examined for uncorrected and corrected distance visual acuity (UDVA; CDVA), keratometric power (K), corneal thickness, and corneal higher-order aberrations (HOAs) preoperatively and at postoperative 1, 3, 6, and 12 months. Results: The median UDVA and mean CDVA were enhanced from 6/38 to 6/12 and from 6/19 to 6/7.5, respectively, through 12 months after CWG-transPRK/accCXL. The 12-month CDVA of all patients was better than 6/12 Snellen, and no subject lost one or more lines of CDVA. The magnitudes of both myopia and corneal steepness were decreased in turn by Intacs SK implantation and also by CWG-transPRK/accCXL, but the reduction in HOA was largely the result of CWG-transPRK/accCXL. The magnitude of corneal thinning stabilized within 3 months after CWG-transPRK/accCXL. Conclusion: This approach may allow patients with moderate keratoconus to obtain satisfactory vision without the need for contact lens wear. This surgery appeared to be effective and safe through 1 year of follow-up. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Hindawi Pub. Co. | - |
dc.relation.isPartOf | BIOMED RESEARCH INTERNATIONAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Collagen / metabolism* | - |
dc.subject.MESH | Corneal Stroma* / diagnostic imaging | - |
dc.subject.MESH | Corneal Stroma* / metabolism | - |
dc.subject.MESH | Corneal Stroma* / physiopathology | - |
dc.subject.MESH | Corneal Stroma* / surgery | - |
dc.subject.MESH | Corneal Topography* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Keratoconus* / diagnostic imaging | - |
dc.subject.MESH | Keratoconus* / metabolism | - |
dc.subject.MESH | Keratoconus* / physiopathology | - |
dc.subject.MESH | Keratoconus* / surgery | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Photorefractive Keratectomy* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Safety* | - |
dc.subject.MESH | Visual Acuity* | - |
dc.title | One-Year Efficacy and Safety of Combined Photorefractive Keratectomy and Accelerated Corneal Collagen Cross-Linking after Intacs SK Intracorneal Ring Segment Implantation in Moderate Keratoconus | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Ophthalmology (안과학교실) | - |
dc.contributor.googleauthor | Il Hwan Koh | - |
dc.contributor.googleauthor | Kyoung Yul Seo | - |
dc.contributor.googleauthor | Seong Bae Park | - |
dc.contributor.googleauthor | Hun Yang | - |
dc.contributor.googleauthor | InSik Kim | - |
dc.contributor.googleauthor | Jin Sun Kim | - |
dc.contributor.googleauthor | David G Hwang | - |
dc.contributor.googleauthor | Sang Min Nam | - |
dc.identifier.doi | 10.1155/2019/7850216 | - |
dc.contributor.localId | A01870 | - |
dc.relation.journalcode | J00315 | - |
dc.identifier.eissn | 2314-6141 | - |
dc.identifier.pmid | 31360724 | - |
dc.contributor.alternativeName | Seo, Kyoung Yul | - |
dc.contributor.affiliatedAuthor | 서경률 | - |
dc.citation.volume | 2019 | - |
dc.citation.startPage | 7850216 | - |
dc.identifier.bibliographicCitation | BIOMED RESEARCH INTERNATIONAL, Vol.2019 : 7850216, 2019-07 | - |
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