Lets Design an AthensProtocol CXL in a keratoconus case! Kanellopoulos MD

 Watch with us the pivotal steps in using the cornea diagnostic data and designing and Athens protocol six cell treatment. You will find it very particular that we will shift from the refractive axis almost 90° and this is common as in keratoconus the patient uses the multiplicative of the cornea to pick a “sweet” spot, so to say that may have a ad hoc access of the astigmatism that the patient uses to compensate the severe horizontal coma that will present in this case, then, looking at the steepest keratometry will arbitrary, assume what the myopia that will be induced ““ but the procedure, the procedure actually flattened the cornea that will make it more symmetric in the center so we expect the area of the patient was using prior for refraction that will steep in And in the eyes and functionally for the patient will give the impression that myopia is induced it has not been because we know that the actual length and this particular patient is little bit over 23.5 mm and the steepest care optometry is close to 52 doctors so this account for several doctors of myopia. These are some of the elements we build in our topography guided treatment that is meant to reshape the cornea drastically improve the topography of symmetry indices when we look at the corneal with the top Omoto in mainly the pentagon, and as we have noted and recently published in the editorial the journal corny October 2023 in essence, this reaping of the cornea also adds as a drastic synergistic tool to enhance the CL effect as it allows better riboflavin penetration, and with the same token better UV light exposure of the anterior stoma with a combination of the two, and although in the treatment that you’re saying will treat just one after my op over one of astigmatism, we do expect to see flattening That range from six all the way to 15 we will review in the video to follow the data that we achieved on the other eye of this patient that we treated last year just as a summary and confirmation of how all the steps of them, for the Novus actually makes sense in the long run and remember I’ll go here to stabilize Koukas improve visual function and willing take out of the picture completely. The chance that this patient may need a cornea transplant. In the future. This is the Athens protocol.