RT Journal Article
T1 Prophylactic corneal crosslinking in myopic small-incision lenticule extraction - Long-term visual and refractive outcomes.
A1 Sánchez-González, José-María
A1 Rocha-de-Lossada, Carlos
A1 Borroni, Davide
A1 De-Hita-Cantalejo, Concepción
A1 Alonso-Aliste, Federico
K1 Corneal crosslinking
K1 SMILE
K1 XTRA
K1 refractive surgery
K1 small incision lenticule extraction
AB To analyze the efficacy, safety, predictability, and stability in myopic and astigmatic small-incision lenticule extraction (SMILE) with simultaneous prophylactic corneal crosslinking (CXL) in thin corneas. A total of 48 eyes from 24 patients who underwent myopic and astigmatism SMILE with simultaneous prophylactic CXL were included in this retrospective study. All patients had a 24-month follow-up. A femtosecond laser was performed with VisuMax (Carl Zeiss Meditec). CXL treatment was applied when the predicted stromal thickness was less than 330 μm. The patients' mean age was 31.58 ± 6.23 years. The previous mean spherical equivalent was - 6.85 ± 1.80 (-9.75 to - 2.00) D. The postoperative mean spherical equivalent was - 0.50 ± 0.26 (-1.00 to + 0.25) D; 60% of the eyes had 20/20 or better; 19% lost one line; 58% were within ± 0.50 D; and 8.3% of the eyes changed 0.50 D or more between 3 and 24 months. Prophylactic CXL with simultaneous SMILE for myopia and astigmatism femtosecond laser surgery technique appears to be partially effective, safe, predictable, and stable after 24 months of follow-up.
YR 2022
FD 2022
LK http://hdl.handle.net/10668/21627
UL http://hdl.handle.net/10668/21627
LA en
DS RISalud
RD Mar 14, 2025