Dr. Manasi Jadhav, J13826, Dr. Rohit Bang, Dr. Bhaskar Srinivasan, Dr.Dnyanoba DaradeDr Manasi Bang
Cornea ,Cataract and Refractive services
Shri Ganapati Netralaya
Jalna ,Maharashtra
- Keratoconus is a Progressive non-inflammatory thinning disease of the cornea .
- It induces myopia and irregular astigmatism
- Decreases quality of vision due to monoocular diplopia ,halos & ghost images
- 50 eyes( 29 patients) of keratoconus stabilized after CXL who underwent toric ICL implantation were analyzed over a period of 5 years
- BCVA ,UCVA, Topography ,ASOCT were done at each follow up Criteria for TICL selection
- Post-CXL keratoconus was considered stable when refraction was constant for 3 consecutive months
- Clear central cornea with a centralized cone
- ACD > 2.8mm
- Patients of progressive keratoconus who underwent CXL and were stable for period of 6 months underwent toric ICL implantation
- MRCE and MRSE also reduced significantly
- UCVA and BCVA were maintained at 5 years follow-up Providing optimal refractive and vision results to patients with keratoconus remains a challenge
- CXL sets the stage for further procedures once keratoconus stabilizes
- Post CXL patients with high refractive errors and good visual potential TICL is a good stable option Once the biomechanical stability of keratoconus is achived ,Toric phakic IOL is a effective option for reducing the spherocylinder and improving the visual quality