Kaufmann Claude, Schubiger Gregor, Thiel Michael A
*Department of Ophthalmology, Lucerne Cantonal Hospital, Lucerne, Switzerland; and †Ethics Committee for Research on Humans, Department of Health, Lucerne, Switzerland.
Cornea. 2015 Oct;34(10):1326-8. doi: 10.1097/ICO.0000000000000577.
To describe corneal cross-linking (CXL) as a treatment option for brittle cornea syndrome (BCS).
Case report.
Ethical decision making enabled bilateral sequential transepithelial CXL in an 11-year-old girl with BCS. Postoperative courses were uneventful with a bilateral stromal demarcation line, unchanged corneal transparency, constant endothelial cell density, and stable topography 2 years after intervention.
Modified CXL can safely be performed in patients with BCS. Ethical review may be helpful for interventions deviating from standard practice.
描述角膜交联术(CXL)作为脆性角膜综合征(BCS)的一种治疗选择。
病例报告。
通过伦理决策,对一名患有BCS的11岁女孩实施了双侧序贯上皮下CXL。术后过程顺利,干预2年后出现双侧基质分界线,角膜透明度未变,内皮细胞密度恒定,地形图稳定。
改良的CXL可安全地应用于BCS患者。伦理审查可能有助于偏离标准做法的干预措施。