June consultation #6

CXL and ICRS are both reasonable initial options for this patient. However, the patient has already failed to improve with both treatments and, although a second CXL procedure is possible, there is no evidence that repeated CXL treatments are beneficial and in this particular scenario, it would not address the patient's visual acuity concerns. In certain circumstances topography-guided treatments after CXL can be advantageous to regularize a stable ectatic cornea, but this is only a reasonable option once the patient has shown stability, which is not the case for this patient.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation section: Refractive Source Type: research