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CASE REPORT: CXL FOLLOWED BY TOPOGRAPHY-GUIDED PRK IN A COMMERCIAL AIRLINE PILOT. SIMAR J. SINGH 1 , WILLIAM B. TRATTLER 1,2 , GABRIELA PEREZ 2 , DAVID T. LIN 3. 1 Herbert Wertheim College of Medicine, Florida International University, Miami FL 2 Center for Excellence in Eye Care, Miami FL
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CASE REPORT: CXL FOLLOWED BY TOPOGRAPHY-GUIDED PRK IN A COMMERCIAL AIRLINE PILOT SIMAR J. SINGH1, WILLIAM B. TRATTLER1,2, GABRIELA PEREZ2, DAVID T. LIN3 1Herbert Wertheim College of Medicine, Florida International University, Miami FL 2Center for Excellence in Eye Care, Miami FL 3University of British Columbia, Vancouver BC Dr. Trattler has received funding for research, consulting and/or speaking from: CXLUSA
Purpose and Methods • Purpose: • To report the results of bilateral CXL followed by topography- guided PRK for a commercial airline pilot who required excellent uncorrected visual acuity to continue with his occupation. • Methods: • A 33-year-old African American male commercial airline pilot with advanced bilateral keratoconus & no previous ocular surgery was treated with epithelial-off CXL followed 4 months later by topography-guided PRK with the Allegretto laser platform. A comparison of UCVA, BCVA, pentacams, and placido-disk topographies were gathered pre & post CXL treatment and & post PRK.
Difference Map OD: Pre-Op to Post-CXL/ Pre-PRK Pre-Op Post-CXL Difference Map 4 D Flatter
Difference Map OD: Pre-Op to Last Visit (Post-CXL and Post-PRK) Pre-Op Post-CXL/ Post-PRK Difference Map 11 D Flatter
Conclusions • This case illustrates the potential for marked improvement in UCVA and BCVA in patients who have undergone CXL followed by topography-guided PRK. Patients with advanced keratoconus may experience greater improvement in visual acuity and experience a greater improvement in quality of vision with CXL followed by PRK when compared to CXL alone. • KEYWORDS: Keratoconus, Corneal Crosslinking, Photorefractive keratectomy (PRK).