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Neue Behandlungsprotokolle der Hornhautvernetzung (Corneal Crosslinking)

New treatment protocols for corneal crosslinking

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Zusammenfassung

In den letzten Jahren hat sich die Hornhautvernetzung (Corneal Crosslinking/CXL) zur Behandlung von ektatischen Hornhauterkrankungen in der Hornhautchirurgie etabliert. Die Effektivität dieses Eingriffs konnte in zahlreichen Studien belegt werden. Rezent wurden unterschiedliche Behandlungsprotokolle vorgestellt, welche die Sicherheit durch eine transepitheliale Behandlung verbessern sollen. Ebenso wurden beschleunigte Verfahren vorgestellt, um die Behandlungsdauer signifikant zu reduzieren. In dieser Übersichtsarbeit werden transepitheliale Behandlungsprotokolle sowie beschleunigte Behandlungsprotokolle beschrieben und der Stand der Evidenz beurteilt.

Abstract

In the recent years corneal crosslinking has been established as a routine treatment for progressive ectatic corneal diseases. The effectiveness and safety of this intervention has been proven in several trials. Recently, several new treatment protocols have been introduced with the intention to reduce treatment time or the necessity to remove the epithelium. This overview describes some of this new treatment protocols and tries to assess the research evidence in this field.

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  1. Abteilung für Augenheilkunde und Optometrie, Medizinische Universität Wien, Währinger Gürtel 18–20, 1090, Wien, Österreich

    Gerald Schmidinger & Niklas Pircher

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  1. Gerald Schmidinger
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  2. Niklas Pircher
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Correspondence to Gerald Schmidinger.

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Schmidinger, G., Pircher, N. Neue Behandlungsprotokolle der Hornhautvernetzung (Corneal Crosslinking). Spektrum Augenheilkd. 29, 31–36 (2015). https://doi.org/10.1007/s00717-015-0257-6

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  • DOI: https://doi.org/10.1007/s00717-015-0257-6

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