This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
08/04/2010
1
RICROLIN TERICROLIN TE
Barcelona 06.04.’10
• Absorption and concentration of UV radiation
• Photo-sensitizing agent: production of reactive oxygen species
• VA tested in conditions of natural miosis with LogMar ETDRS tables
• Instruments:– biomicroscopy– ultrasounds and optic pachimetry– corneal topography and aberrometry– corneal OCT– endothelial cells counter
Materials and methodsMaterials and methods
08/04/2010
9
Height 3 mm, diameter 12 mm (external) and 10.5 (inte rnal), basal flange of 2 mm.The cilinder, introduced under the eyelid edge and directly on the cornea, works as a blepharostat, holds Ricro lin TE down, protects limbus from UV rays.
Corneal Silicon RingCorneal Silicon Ring
• RICROLIN TE 2h before the treatment (1 drop every 10 minutes)
• Anaesthetic drops preservative free• Pilocarpine 1% drops• Corneal silicon ring• RICROLIN TE 15 min before UV, then every 3-5
min during UV exposure• CBM Vega (CSO) 6 steps of 5 min each
TechniqueTechnique
08/04/2010
10
• Ophthalmic office(no operating room)
• No surgical tissue
• Corneal washing with BSS• Artificial tears (jaluronic acid and aminoacids) • Antibiotic drops preservative free
Take home messageTake home message•• Better compliance of the patientBetter compliance of the patient (possibility to treat (possibility to treat
patients under 15 years old and ”complicated subject s”)patients under 15 years old and ”complicated subject s”)•• No postNo post--treatment paintreatment pain•• Corneal thickness < 380 micronCorneal thickness < 380 micron•• Pre treatment VA maintenancePre treatment VA maintenance•• Adjuvant treatment of “traditional CXL” Adjuvant treatment of “traditional CXL” (one technique (one technique
has the opportunity to reinforce the effectiveness of the has the opportunity to reinforce the effectiveness of the other)other)
08/04/2010
14
•• The The trans epithelial CXLtrans epithelial CXL treatment doesn’t need treatment doesn’t need operating roomoperating room
•• Corneal Silicon RingCorneal Silicon Ring works as a works as a blepharostatblepharostat , , increase the increase the contact timecontact time between Ricrolin TE between Ricrolin TE and corneal epithelium, and corneal epithelium, protects limbus and stem protects limbus and stem cellscells from UV raysfrom UV rays