Aktualne wskazania oraz nowe możliwości zastosowania cross-linkingu w leczeniu chorób rogówki Artykuł przeglądowy
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Abstrakt
Sieciowanie kolagenu rogówki jest techniką stosowaną w okulistyce, której mechanizm polega na wytworzeniu nowych wiązań pomiędzy włóknami kolagenu, co prowadzi do stabilizacji i usztywnienia struktury rogówki. Najczęstszym wskazaniem do wykonywania zabiegów sieciowania kolagenu rogówki jest zapobieganie progresji zmian ektatycznych rogówki, tzn. stożka rogówki, zwyrodnienia brzeżnego przezroczystego oraz ektazji po zabiegach fotokeratorefrakcyjnych. Doniesienia naukowe wskazują także na skuteczność sieciowania kolagenu rogówki w leczeniu bakteryjnych zakażeń rogówki oraz keratopatii pęcherzowej. Technika ta jest skuteczna w stabilizacji ektazji, a leczenie często prowadzi do zwiększenia ostrości widzenia, zmniejszenia maksymalnej wartości keratometrii oraz poprawy obrazu topografii rogówki. Ponadto dzięki zastosowaniu sieciowania kolagenu rogówki możemy uniknąć konieczności wykonania bardziej inwazyjnych zabiegów chirurgicznych, takich jak przeszczep rogówki, lub odroczyć je w czasie.
Pobrania
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Utwór dostępny jest na licencji Creative Commons Uznanie autorstwa – Użycie niekomercyjne – Bez utworów zależnych 4.0 Międzynarodowe.
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Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)
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