Journals / Tıp Araştırmaları Dergisi / 2014 / Cilt: 12 - Sayı: 2

Korneal Kollaj en Çapraz Bağlama Tedavisinin Komplikasyonları: Literatür Taraması

Complications of Corneal Collagen Cross-Linking: Literature Review

Pages
97–102
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Ophthalmologists should be encouraged to report all complications of CXL since early diagnosis and proper treatment can improve success rate of this new technique.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Corneal crosslinking [CXL] is the first promising surgical procedure that halts the progression of corneal ectatic disorders.
📊
Key Findings & Data:CXL is technique that uses riboflavin and ultraviolet [UVA] light to induce corneal stiffening by increasing the number of intra- and interfibrillar covalent bonds and corneal collagen resistance against enzymatic degradation.
💡
Conclusion & Impact:Ophthalmologists should be encouraged to report all complications of CXL since early diagnosis and proper treatment can improve success rate of this new technique.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Corneal crosslinking [CXL] is the first promising surgical procedure that halts the progression of corneal ectatic disorders. CXL is technique that uses riboflavin and ultraviolet [UVA] light to induce corneal stiffening by increasing the number of intra- and interfibrillar covalent bonds and corneal collagen resistance against enzymatic degradation. Recent studies suggest that CXL can also have beneficial effects with few complications. With more widespread application of CXL, reports of complications are increasing. Ophthalmologists should be encouraged to report all complications of CXL since early diagnosis and proper treatment can improve success rate of this new technique.

Özet

Korneal çapraz bağlama [CXL], korneal ektatik hastalıkların ilerlemesinin durdurulmasında ilk umut vaat eden cerrahi uygulamadır. Bu tedavi, riboflavin ve ultraviole ışığı kullanarak korneadaki intra- ve interfibriller kovalan bağların sayısını arttırmakta, korneanın güçlenmesini ve enzimatik yıkıma karşı dirençli hale gelmesini sağlamaktadır. Son zamanlarda yapılan çalışmalarda, CXL'in pek çok yararlı etkisinin yanında bazı komplikasyonları bildirilmiştir. CXL'in çok sık kullanılmaya başlanması ile birlikte komplikasyon bildirimleri de artmaktadır. Bu yeni tekniğin komplikasyonlarının iyi bilinmesi, erken tanı konulması ve tedavisi ile başarı oranı artacaktır.

🔖

Cite This Article

YÜKSEL, N., YÜKSEL, E. (2014). Korneal Kollaj en Çapraz Bağlama Tedavisinin Komplikasyonları: Literatür Taraması. Tıp Araştırmaları Dergisi, Cilt: 12 - Sayı: 2, 97–102. https://ajindex.com/articles/361800

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Gokhale NS. Corneal endothelial damage after collagen cross-linking treatment. Cornea. 2011; 30(12): 1495-1498.
  2. Bagga B, Pahuja S, Murthy S, Sangwan VS. Endothelial failure after collagen cross-linking with riboflavin and UV-A: case report With literature review. Cornea. 2012; 31(10): 1197- 1200. Sharma N, Maharana P, Singh G, Titiyal JS. Pseudomonas keratitis after collagen crosslinking for keratoconus: case report and review of literature. Cataract Refract Surg. 2010; 36(3): 517-520.
  3. Pollhammer M, Cursiefen C. Bacterial keratitis early after corneal crosslinking with riboflavin and ultraviolet-A. Cataract Refract Surg. 2009; 35(3): 588-589. Pérez-Santonja JJ, Artola A, Javaloy J, Alio JL, Abad JL. Microbial keratitis after corneal collagen crosslinking. Cataract Refract Surg. 2009; 35(6): 1138-1140.
  4. Zamora KV, Males JJ. Polymicrobial keratitis after collagen cross-linking procedure with postoperative use of contact lens: case report. Cornea. 2009; 28(4): 474-476.
  5. Kymionis GD, Portaliou DM, Bouzoukis DI, Suh LH, Pallikaris AI, Markomanolakis M, Yoo SH. Herpetic keratitis With iritis after corneal crosslinking With riboflavin and ultraviolet for keratoconus. Cataract Refract Surg. 2007; 33(11): 1982-1984.
  6. Yuksel N, Bilgihan K, Hondur AM. Herpetic keratitis after corneal collagen cross-linking with riboflavin and ultraviolet-A for progressive keratoconus. Int Ophthalmol. 2011; 31(6): 513- 515. Rama P, Di Matteo F, Matuska S, Paganoni G, Spinelli A. Acanthamoeba keratitis With perforation after corneal crosslinking and bandage contact lens use. Cataract Refract Surg. 2009; 35(4):788—791. Koppen C, Vryghem JC, Gobin L, Tassignon MJ. Keratitis and corneal scarring after UVA/riboflavin cross-linking for keratoconus. Refract Surg. 2009; 25(9): 819-823.
  7. Kymionis GD, Bouzoukis DI, Diakonis VF, Portaliou DM, Pallikaris AI, Yoo SH. Diffuse lamellar keratitis after corneal crosslinking in patient with post-laser in situ keratomileusis corneal ectasia. Cataract Refract Surg. 2007; 33(12): 2135-2137.
  8. Angunawela RI, Arnalich-Montiel F, Allan BD. Peripheral sterile corneal infiltrates and melting after collagen crosslinking for keratoconus. Cataract Refract Surg. 2009; 35(3): 606-607. Wollensak G. Crosslinking treatment of progressive keratoconus: new hope. Curr Opin Ophthalmol. 2006; 17(4): 356-360.
  9. Wollensak G, Spoerl E, Seiler T. Riboflavin/ultraviolet-a-induced collagen crosslinking for the treatment of keratoconus. Am Ophthalmol. 2003; 135(5): 620-627. Kymionis GD,