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31. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII)

Deutschsprachige Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII) (DGII)

16.02. - 18.02.2017, Dortmund

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Refractive surgery on corneas under 500 µm

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  • Jesper Hjortdal - Aarhus, Denmark

Deutschsprachige Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie. 31. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie (DGII). Dortmund, 16.-18.02.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc17dgii031

doi: 10.3205/17dgii031, urn:nbn:de:0183-17dgii0319

Published: February 15, 2017

© 2017 Hjortdal.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Ectasia is one of the most severe side effects after corneal refractive surgery. Risk factors for development of ectasia include high myopia, young patient age, reduced preoperative corneal thickness, reduced residual stromal bed thickness after laser ablation and asymmetrical corneal steepening (forme fruste keratoconus, keratoconus or pellucid marginal degeneration) [1].

Recent approaches to offer corneal refractive surgery to patients with thin corneas, include combining the procedure with corneal cross-linking [2].

Alternatively, intraocular refractive procedures, such as ICL or iris-claw IOLs may be considered.

Outline

References

1.
Santhiago MR, Giacomin NT, Smadja D, Bechara SJ. Ectasia risk factors in refractive surgery. Clin Ophthalmol. 2016 Apr 20;10:713-20. DOI: 10.2147/OPTH.S51313 External link
2.
Chan TC, Ng AL, Chan KK, Cheng GP, Wong IY, Jhanji V. Combined application of prophylactic corneal cross-linking and laser in-situ keratomileusis - a review of literature. Acta Ophthalmol. 2016 Dec 2. DOI: 10.1111/aos.13324 External link