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Faschinger, C; Kleinert, R; Wedrich, A.
Corneal melting in both eyes after simultaneous corneal cross-linking in a patient with keratoconus and Down syndrome].
Ophthalmologe. 2010; 107(10): 954- 955 (- Case Report)
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Autor/innen der Med Uni Graz:
Faschinger Christoph
Kleinert Reinhold
Wedrich Andreas
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Abstract:
Corneal cross-linking is one of the options for treatment of progressive keratoconus. Following the published standards regarding indication and treatment schedules, it seems to be a highly safe and effective operation. Only a very few severe complications, such as stromal scarring and bacterial keratitis, have been reported.We describe a patient with keratoconus and Down syndrome who was treated with corneal cross-linking on both eyes simultaneously. One week after the operation he developed central corneal melting without signs of infection in his right eye, and 1 month after the operation in his left eye. Penetrating keratoplasties had to be performed on both eyes and were successful. A possible reason for the corneal melting might have been a corneal stroma that was thinner than the proposed limit of 400 µm at the centre. The published recommended standards should be met.
Find related publications in this database (using NLM MeSH Indexing)
Corneal Diseases - chemically induced
Cross-Linking Reagents - adverse effects
Down Syndrome - complications
Humans -
Keratoconus - complications
Male -
Middle Aged -
Photochemotherapy - adverse effects
Riboflavin - adverse effects
Treatment Outcome -

Find related publications in this database (Keywords)
Cross-linking
Keratoconus
Keratoplasty
Cornea
Riboflavin
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