TABLE 1.
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.