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. 2023 Jul 10;42(10):1199–1205. doi: 10.1097/ICO.0000000000003320

TABLE 1.

Compilation of a Large Group22 of Publications Documenting Clinical Data of Keratoconus Treatment With Combined Customized Surface Ablation and Corneal Cross-linking, Some With Very Long-Term Follow-Up

Reference Authors Year Protocol Study Design Cases Follow-Up UDVA CDVA SE Keratometry Change Complications
3 Wong JJ, et al 2006 Topo-PRK + CXL sequential Case series 7 12 m 20/100–20/30 20/50–20/22 2.14 D Kmax reduced 3 D None
4 Kanellopoulos AJ, et al 2007 Topo-PRK + CXL sequential Case report 1 18 m 20/100–20/20 20/50–20/15 5.25 D Steep K reduced 5.5 D None
6 Ewald M, et al 2008 Topo-PRK + CXL Case series 45 19 m 20/400–20/100 27/32 >2.25 logMAR 6.4 D 53 D to 44 D (9 D) 1 case PK
7 Kanellopoulos AJ, 2009 Topo-PRK + CXL Comp. Case series 198 36 m 0.96–0.3 0.39–0.16 3.2 D 3.5 D flatten 2 cases haze
13 Kymionis GD, et al 2009 Topo-PRK + CXL Case series 23 24–48 m Improved 0.38 Improved 0.1 NR 3.4 D flatten None
14 Stojanovic A et al 2010 Topo-PRK + CXL Case series 12 12 m 20/1000–20/125 20/57–20/35 NR 3.62 D flatten None
15 Lin DT, et al 2012 Topo-PRK + CXL Case series 66 6 m 58% 20/40 or better 92% 20/40 or better NR NR None
10 Kanellopoulos AJ et al 2014 Topo-PRK + CXL Case series 231 36 m 0.38 0.2 NR 46.56–44.44 None
15 Kapasi et al 2012 Topo-PRK + CXL Case series 17 1 m 0.33 lines better Not reported NR NR None
15 Tuwairqi WS, et al 2012 Topo-PRK + CXL Case series 22 12 m Improved Improved NR Reduced 15
15 Alessio et al 2013 Topo-PRK + CXL Case series 17 24 m 0.44 0.003 NR 2.07 flatten NR
9 Kanellopoulos AJ, et al 2011 Topo-PRK + CXL Case series 32 27 m 27/32 >2.25 logMAR 27/32 >2.25 logMAR 2.3 D 3.34 D flatten None
15 Sakla H, et al 2016 Topo-PRK + CXL Case series 85 12 m 0.86–0.46 improved 0.41–0.11 improved 1.71 D Steep 48.1–46.05 D None
13 Grenzelos MA et al 2017 Topo-PRK + CXL Case series 55 12 m 0.59 improved 0.12 improved NR Steep K reduced 4.03 D 7.3% haze
15 Ohana 2018 Topo-PRK + CXL Case series 98 25.3 m 1.23 logMAR improved Not improved NR 4.03 D flatten 5% haze
15 Iqbal M et al 2019 Topo-PRK + CXL Case series 67 24 m 0.68 logMAR improved NR 2.31 D Mean K reduced 0.36 D 1 keratitis
15 Gore et al 2018 Wavefront-PRK + CXL Case series 47 24 m NR 0.13 logMAR improved NR Steep K reduced 5.4 D NR
15 Nattis et al 2018 Topo-PRK + CXL sequential Case series 56 6 m NR 93% 20/40 or better NR No change NR
13 Kymionis GD, et al 2012 PTK + CXL Case series 19 12 m 0.36 improved 0.12 improved NR steep K: reduced 2.07 D NR
15 Assaf A, et al 2015 Topo-PRK + CXL sequential Case series 22 10.9 m 0.87 improved 0.34 NR meanK reduced 1.75 D None
16 Kanellopoulos AJ, 2019 Topo-PRK + CXL Case series 144 128 m 0.19–0.55 0.59–0.81 Kmax reduced 7.6 D 3.5% hyperopic shift
11 Kanellopoulos AJ, et al 2019 Topo-PRK + CXL pediatric Case series 39 48 m 0.51–0.65 0.71–0.81 NR Kmax reduced 8.7 D 2 late haze
15 Kaiserman I, et al 2019 PTK + CXL Case report 20 27.5 m 0.95–0.22 0.24–0.13 NR Kmax 48.18–45.97 None

The impressive similarities in improvement of UDVA, CDVA, and corneal flattening underline the efficacy in ectasia stabilization along with the improvement of visual function.