Open AccessSevere focal stromal degeneration up to Descemet membrane after corneal collagen cross-linking
Author(s) -
GV Prabhakar,
N Panickar,
Reddy Jk,
SK Sivasubramaniam,
Ayushi Singh
Publication year - 2020
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/ijo.ijo_475_19
Subject(s) - keratoconus , medicine , ophthalmology , complication , corneal collagen cross linking , stromal cell , degeneration (medical) , corneal diseases , cornea , surgery , pathology
Corneal collagen cross-linking (CXL) is an effective treatment for arresting progression in keratoconus cases. It is considered safe despite a few complications that have been recorded earlier. In this case series, we report a rare and late complication caused due to severe stromal thinning up to Descemet's membrane in three patients who underwent CXL 3 to 6 years back for keratoconus. Deep anterior lamellar keratoplasty (DALK) was then done for the affected eye with good outcomes. This case series highlights the possible late effects of UVA irradiation post CXL.