Stromal haze after combined riboflavin-UVA corneal collagen cross-linking in keratoconus: in vivo confocal microscopic evaluation

Clin Exp Ophthalmol. 2007 Aug;35(6):580-2. doi: 10.1111/j.1442-9071.2007.01536.x.

Abstract

The technique of corneal collagen cross-linking consists of photopolymerization of stromal fibres by the combined action of a photosensitizing substance (riboflavin or vitamin B2) and ultraviolet light from a solid state UVA source. Photopolymerization increases the rigidity of corneal collagen and its resistance to keratectasia. In this report we present two cases, studied through in vivo confocal microscopy, with stage III keratoconus that developed stromal haze after the cross-linking treatment.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Adolescent
  • Adult
  • Collagen / metabolism*
  • Collagen / radiation effects
  • Corneal Opacity / diagnosis*
  • Corneal Opacity / etiology
  • Corneal Stroma / pathology*
  • Humans
  • Keratoconus / drug therapy*
  • Microscopy, Confocal
  • Middle Aged
  • Photochemotherapy*
  • Photosensitizing Agents / therapeutic use
  • Riboflavin / therapeutic use*
  • Ultraviolet Rays*

Substances

  • Photosensitizing Agents
  • Collagen
  • Riboflavin