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Assessment of the postoperative effect of corneal cross-linking on keratoconus using the ABCD grading system

Kasumović, Aida; Matoc, Ines; Kasumović, Armin; Sabol, Ivan; Radman, Ivana; Krolo, Iva (2022) Assessment of the postoperative effect of corneal cross-linking on keratoconus using the ABCD grading system. Indian Journal of Ophthalmology, 70 (1). pp. 79-84. ISSN 0301-4738

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Purpose: To monitor the changes in the ABCD grading system during a one-year follow-up after a corneal cross-linking (CXL) procedure. Methods: This prospective study included 30 eyes of 25 patients with keratoconus, who received the CXL treatment. The patients with a history of ocular trauma or surgery and other corneal pathology were excluded from the study. The patients were examined at the baseline visit and followed up at 3, 6, and 12 months after the CXL. All the patients underwent a standard CXL procedure with visual acuity and Scheimpflug tomography testing at each visit. The corneal parameters and ABCD grading were monitored throughout the follow-up period. Results: There were no significant changes of parameter A and anterior radius curvature (ARC) in the ABCD grading system. Parameters B and D showed progression postoperatively, with an improvement of parameter D on the final visit. Parameter C showed a statistically significant increase at all three post-CXL visits, but a constant gradual decrease in the value over time. Conclusion: The ABCD grading system can be very useful in monitoring the progression of keratoconus (KC), but it can also help in monitoring the efficacy of corneal cross-linking. The anterior surface parameters in the ABCD grading system did not show progression in the post-CXL period, and parameters C and D showed improvement and stability a year after the procedure.

Item Type: Article
Uncontrolled Keywords: ABCD grading system ; corneal cross-linking ; corneal topography ; keratoconus ; Pentacam
Subjects: BIOMEDICINE AND HEALTHCARE > Clinical Medical Sciences
Divisions: Division of Molecular Medicine
Depositing User: Ivan Sabol
Date Deposited: 18 Oct 2022 07:51
DOI: 10.4103/ijo.ijo_368_21

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