Combined Photorefractive Keratectomy and Corneal Cross-Linking for Keratoconus and Ectasia: The Athens Protocol

Author:

Kanellopoulos Anastasios John12ORCID

Affiliation:

1. Laservision Clinical and Research Institute, Athens, Greece; and

2. Department of Ophthalmology, NYU Medical School, New York City, NY.

Abstract

Abstract: Customized photorefractive keratectomy with minimal tissue ablation combined with corneal cross-linking seems to be a long-term safe and effective strategy for anatomical and visual management of keratoconus, postsurgical ectasia, and other ectasia management. Multiple published studies, many with long-term follow-up, have supported the Athens Protocol and its various forms as a means to manage corneal ectatic disorders, which not only stabilize corneal shapes but also improve functional vision.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Ophthalmology

Reference25 articles.

1. Riboflavin/ultraviolet A–induced collagen cross–linking in the management of keratoconus;Braun;Invest Ophthalmol Vis Sci.,2005

2. Corneal topography indices after corneal collagen crosslinking for keratoconus and corneal ectasia: one-year results;Greenstein;J Cataract Refract Surg,2011

3. Post–LASIK Ectasia: PRK Following Previous Stabilization and Effective Management With Riboflavin/Ultraviolet A–Induced Collagen Cross–Linking;Wong;Invest Ophthalmol Vis Sci,2006

4. Collagen cross-linking (CCL) with sequential topography-guided PRK: a temporizing alternative for keratoconus to penetrating keratoplasty;Kanellopoulos;Cornea,2007

5. The impact of keratoconus treatment with the Athens Protocol (partial topography-guided photorefractive keratectomy combined with higher-fluence corneal collagen cross-linking) on quality of life: a long-term study;Kanellopoulos;Clin Ophthalmol.,2019

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