Acute corneal melt and perforation – A possible complication after riboflavin/UV-A crosslinking (CXL) in keratoconus
Anne Tillmann, Daniel DanielKampik, Maria Borrelli, Maximilian Seidl, Johannes Menzel-Severing, Theo Seiler, Gerd Geerling
Abstract
Purpose: To report two cases of acute corneal melting and perforation requiring emergency penetrating keratoplasty after corneal crosslinking (CXL) in advanced keratoconus. Observations: was cultured. Conclusions and importance: Acute corneal melting and perforation may occur after CXL. Dysfunctional collagen metabolism, atopia, thin preoperative pachymetry and the use of hypoosmolar substances may have initiated this complication in our cases.
Topics & Concepts
KeratoconusMedicineCorneal perforationOphthalmologyRiboflavinComplicationPerforationCorneaSurgeryFood scienceMetallurgyMaterials scienceChemistryPunchingCorneal surgery and disordersCorneal Surgery and TreatmentsGlaucoma and retinal disorders