Corneal biomechanical outcome of collagen cross-linking in keratoconic patients evaluated by Corvis ST

摘要

Purpose: A 6-month evaluation of the topographic and biomechanical changes induced by corneal collagen cross-linking (CXL) in keratoconic eyes using Pentacam and Corvis ST. Design: Longitudinal prospective case series. Methods: In this study, 67 eyes of 67 patients with progressive keratoconus (KCN) treated with “Epithelium-off” CXL were evaluated. Patients with stages 1 or 2 of KCN and a corneal thickness of at least 400?μm at the thinnest point were included. Standard ophthalmologic examinations were carried out for all patients. The topographic and biomechanical measurements of the cornea were obtained by Pentacam (Oculus Optikger?te GmbH, Wetzlar, Germany) and Corvis ST (Oculus Optikger?te GmbH, Wetzlar, Germany) preoperatively and 6-month postoperatively. Results: The mean age of the participants was 21.68?±?4.23?years. There was significant difference in mean spherical equivalent (SE) before and 6?months after CXL. Uncorrected and best corrected visual acuity improved postoperatively, although not statistically significant. The mean and maximum keratometry showed a significant decrease 6?months after CXL (0.93?±?0.38?D and 1.43?±?0.62?D, respectively p ?