Dear Sir,
Collagen crosslinking was done in both the eyes in a single sitting. Post operatively the corneal haze produced is grossly asymmetrical. What is the reason for such an asymmetry in haze ?
What is the best steroid to be prescribed postoperatively ?
Thanking you
Dr Goli Sridhar

Dear Dr.Sridhar,
Thank you for raising a query in the field of Collagan crosslinkage. I am sending you query to Cornea Expert and as soon as the expert gives the response it will be informed to you through website and also to your emial ID. Thank you once again.

Hi Dr. Sridhar

Thanks for your question

Would hesitate to do collagen cross-linking for both the eyes at the same time

I had one patient with assymetrical haze following collagen crosslinking done at different intervals.Infact in one eye the cornea became very thin. I thought it was because of excessive UV exposure and i blamed the Indian machine. I have not seen similar haze using the imported machines

Can you describe the haze ? Anterior stromal ( 1/3rd) or deeper. Is it involving the visual axis ? What is the visual acuity ?

In the presence of epithelial defect , i would hesitate to use strong steroids following collagen crosslinking. Once the epithelail defect is healed and if the haze is significant haze, you can start prednisolone eye drops in a tapering dosage over two weeks and then FML eye drops over 4 weeks starting with 4 times a day

Keep me posted ( depth of haze and corneal thickness)

reg
Dr.M.S.Sridhar