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Klin Monbl Augenheilkd 2022; 239(11): 1354-1360
DOI: 10.1055/a-1892-0973
DOI: 10.1055/a-1892-0973
Kasuistik
Korneales Kollagen-Crosslinking (CXL) bei Hornhautektasie nach SMILE (Small Incision Lenticule Extraction)
Article in several languages: deutsch | English
Zusammenfassung
Das SMILE-Verfahren scheint mit einer geschätzten Inzidenz von 0,011% unter allen gängigen keratorefraktiven Verfahren das geringste Risiko für eine postoperative Keratektasie aufzuweisen. Dennoch kann zum jetzigen Zeitpunkt aufgrund der Neuheit des Verfahrens sowie der mangelnden Datenlage diesbezüglich keine eindeutige Überlegenheit gegenüber der Femto-LASIK oder PRK ausgesprochen werden. Insofern sind die identischen, strengen Kriterien zur Indikationsstellung analog zu den Excimer-basierten Verfahren von großer Bedeutung, um das Risiko einer Hornhautektasie zu minimieren. Additiv zur konventionellen Hornhauttomografie sollten neuere bildgebende Modalitäten wie OCT-basiertes Epithel-Mapping standardmäßig zum präoperativen Screening vor keratorefraktiven Eingriffen eingesetzt werden. Mit dem kornealen Crosslinking steht eine etablierte Behandlungsmethode der Post-SMILE-Keratektasie zur Verfügung, die insbesondere in frühen Stadien hohe Erfolgschancen verspricht. Der vorgelegte Fallbericht legt diese Sachverhalte genauer dar.
Publication History
Received: 05 April 2022
Accepted: 03 July 2022
Accepted Manuscript online:
05 July 2022
Article published online:
10 October 2022
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