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Year : 2023  |  Volume : 3  |  Issue : 2  |  Page : 295-297

Questionable effect of collagen cross-linking for keratoconus in a pregnant female: A case report

Department of Cornea and Refractive Services, The Eye Foundation Hospital, Coimbatore, Tamil Nadu, India

Correspondence Address:
Shreesha Kumar Kodavoor
582-A, Diwan Bahadur Rd., R S Puram West, Coimbatore, Tamil Nadu - 641 002
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJO.IJO_2518_22

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We report a rare case of keratoconus (KC) progressing to advanced stage in a pregnant female with previously stable KC managed with collagen cross-linking 7 years back. A 26-year-old female first visited during the second month of her pregnancy with stable KC managed with collagen cross-linking 7 years back. She was found to have corneal melt with haze and was advised to undergo keratoplasty surgery. However, the patient was not willing for that, and the surgery was deferred. After 4 months, the patient came with similar complaints. On examination, the corneal melt was advanced and the patient was suggested surgery again. However, she again deferred the surgery. At the eighth month of pregnancy, the patient came with advanced melt with well-epithelized descemetocele, which was then successfully operated on an emergency basis with full-thickness penetrating keratoplasty.

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