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      • Record: found
      • Abstract: found
      • Article: found

      Infektiöse Keratitis nach cornealem Crosslinking: Geringes Risiko für schwerwiegenden Verlauf

      other
      *
      Karger Kompass Ophthalmologie
      S. Karger AG
      Cross-linking, Cornea, Keratoconus, Perforation, Infectious keratitis

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          Abstract

          Purpose: To describe a case of rapid keratitis and corneal perforation after epithelium off collagen cross-linking. Observations: We report a case of a 17-year-old male who underwent collagen cross-linking with the protocol and device approved by the United States Food and Drug Administration (FDA) that developed a corneal infiltrate 3 days after the procedure. He later developed corneal thinning and perforation on day 5 requiring the use of cyanoacrylate glue and a Kontur lens. Despite initial improvement in the infiltrate with fortified antibiotics he later had leakage of aqueous around the glue and a flat chamber requiring an emergent penetrating keratoplasty on postoperative day 16. Conclusion and importance: While collagen cross-linking has been very effective for treating keratoconus and is being recommended more frequently since FDA approval in the United States, severe complications such as corneal perforation requiring early transplant can still occur.

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          Author and article information

          Journal
          KOP
          10.1159/issn.2297-0118
          Karger Kompass Ophthalmologie
          S. Karger AG
          2297-0118
          2297-0045
          2020
          September 2020
          18 August 2020
          : 6
          : 3
          : 140-141
          Affiliations
          Zentrum für Augenheilkunde, Uniklinik Köln, Köln, Deutschland
          Author notes
          *Prof. Dr. Björn Bachmann, Zentrum für Augenheilkunde, Uniklinik Köln, Kerpener Straße 62, 50931 Köln, Deutschland, bjoern.bachmann@uk-koeln.de
          Article
          510226 Kompass Ophthalmol 2020;6:140–141
          10.1159/000510226
          fe76814e-887b-4a8f-b6de-3b2ab65fbc04
          © 2020 S. Karger GmbH, Freiburg

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          History
          Page count
          Pages: 2
          Categories
          Wissenstransfer

          Vision sciences,Ophthalmology & Optometry,Pathology
          Cornea,Perforation,Keratoconus,Cross-linking,Infectious keratitis

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