View abstract

This abstract is assigned to session BSCRS: Belgian Societies of Cataract and Refractive Surgery

Title	UVA/riboflavin crosslinking as treatment for corneal melting
Abstract Nr.	349

Purpose	UVA/riboflavin crosslinking (CXL) is used in clinical practice to stabilise progressive keratoconus. Laboratory studies have shown that CXL increases the resistance of stromal tissue to enzymatic digestion. We will report on a case of corneal melting caused by ulcerative keratitis, that was treated by CXL
Methods	A 70 year-old woman referred for severe infectious ulcerative keratitis, was given intensive treatment with fortified antibiotics. Nevertheless corneal melting developed especially in the inferior part of the cornea. CXL was performed to avoid imminent corneal perforation.
Results	The treatment was successful: the corneal melting was stopped and the lesion cicatrised.
Conclusion	CXL may be useful to treat cases of corneal melting due to stromal enzymatic digestion as caused in this case by an infectious agent. This may avoid so that eemergency keratoplasty

Author 1

Last name	AL-SABAI
Initials	N
Department	Dienst oogheelkunde UZAntwerpen
City	Antwerpen

Author 2

Last name	Koppen
Initials	C
Department	Dienst oogheelkunde UZAntwerpen
City	Antwerpen

Author 3

Last name	Tassignon
Initials	MJ
Department	Dienst oogheelkunde UZAntwerpen
City	Antwerpen