Cross-linking in Children

Keratoconus is a disease of young people and is most common and most aggressive in children (8 to 15 years) and adolescents (10 to 19 years). It is therefore very important to carry out regular follow-up checks here. Above all, the children of adult patients with keratoconus should also be examined.

Our group has one of the longest international experiences in the treatment of children and adolescents. This particular age group requires special care and attention because the risk of postoperative complications such as infection can be greatly increased.

Immediate treatment

Unlike adults, children and adolescents are immediately cross-linked as soon as the keratoconus is clearly diagnosed. So there are no historical controls planned to prove the deterioration.

This is because one of the first major studies of CXL in children (in 2012) clearly showed that keratoconus worsened in 88% of all children and adolescents aged 8 to 19. This study comes from our research group. These results made it clear that if the disease worsens in 9 out of 10 children and adolescents, there should be no hesitation in treating the condition immediately.

We do not want to take the slightest risk with children and therefore use the best-documented cross-linking protocol: epithelium-off CXL, 3 mW/cm², 30 minutes of radiation. The success rate of this conventional and “slow” protocol is more than 95%.

Results

The results of cross-linking in children and adolescents as excellent as they are in adults: the disease can be stopped with a high rate of success. In adults, we usually have to wait six months to see if the treatment has succeeded, but often, we can determine success after just three months in children and adolescents often see the CXL succeed after just three months.

The effect is greater in children

Extreme improvement

We often see children react more clearly and more strongly than adults. The topography below shows a remarkable result early after crosslinking the right eye: the cornea not only stabilized, but also underwent a flattening of more than 5 diopters after 7 months.

7 months after CXL

Before CXL

Improvement

Faster deterioration

A 15-year-old boy with a decrease in visual acuity in his right eye who started 3 months ago. The patient and his parents were asked to come to follow-up after 4 weeks. Unfortunately, they did not reappear until 3 months later. The right picture shows the massive deterioration after just 3 months.

September 2009

May 2009

Deterioration

The procedure

Cross-linking in children and adolescents is exactly the same as for adults. Because the treatment is painless, we can also treat children over the age of 9 under local anaesthesia. For children under the age of 9 years, if necessary, we will perform the treatment under general anaesthesia: our anaesthetists will discuss this with you separately.

Popular Press

Video Interviews

Posts

The ELZA Institute was represented at the 2018 Meeting of the Moroccon Cataract and Refractive Surgeons in Tanger

The ELZA Institute

EN | DE

HR

AR

SQ

FR

Augeninstitut ELZA
4.7
Based on 74 reviews
powered by Google
Gianluca Ricci
Gianluca Ricci
12:46 10 Apr 21
Great team and service!
rehaneyecare
rehaneyecare
05:36 08 Apr 21
Excellent surgeon
Steven H.A
Steven H.A
16:13 11 Jan 21
Prof. F. Hafezi s expertise is enormous and he has a very pleasant and calm nature which gives the patient... security.Thank youread more
Online Commande
Online Commande
09:19 05 Dec 20
Totally creepy, very arrogant Prof.He just want your money.It may explain, why this Prof. is not in the center of the... city of Zürich and why he has been thrown away from University of Geneva.read more
Elena Churilova
Elena Churilova
10:06 17 Nov 20
At the moment, 3 months have passed since the moment I made laser vision correction in this clinic. and I can say that... I am happy that I chose this particular clinic and Prof. F. Hafezi. The entire staff of the clinic is very friendly, treats patients with sympathy and patience if they are nervous before surgery (my big gratitude to Aida Alili for all support and patience). The doctor Hafezi and other doctors of the clinic are very professional and ready to explain to you as many times as you need. I can only recommend!read more
See All Reviews
Augeninstitut ELZA
4.7
Based on 74 reviews
powered by Google