{"id":17148,"date":"2020-02-21T12:55:59","date_gmt":"2020-02-21T12:55:59","guid":{"rendered":"https:\/\/www.elza-institute.com\/?p=17148"},"modified":"2020-02-21T13:04:11","modified_gmt":"2020-02-21T13:04:11","slug":"making-cxl-at-the-slit-lamp-reality","status":"publish","type":"post","link":"https:\/\/www.elza-institute.com\/pt\/making-cxl-at-the-slit-lamp-reality\/","title":{"rendered":"Tornar realidade o CXL na l\u00e2mpada de fenda"},"content":{"rendered":"

This month, Brazil’s top Ophthalmology magazine, Oftalmologica Em Foco, features ELZA\u2019s Prof. Hafezi and Dr. Torres-Netto exploring the story of how they are making CXL at the slit lamp reality.<\/span><\/p>\n

Corneal cross-linking (CXL) is the only treatment for corneal ectasias like keratoconus that can slow and even halt the progression of this disease, but at the moment, CXL is performed in the operating room (OR). This has a consequence: cost. Operating rooms sterile and allow patients to sit back on a reclining chair and be cross-linked \u2013 but running an OR is an expensive enterprise and this patient is first passed on to the doctor who then passes it on to the patient. But it turns out CXL sterilizes the cornea, and this has one important implication: CXL does not need to be performed in a sterile environment. It can be performed in the surgeon’s office, or a procedure room. In fact, CXL is used to treat corneal infections, so there is an additional good reason not to cross-link in the OR: no surgeon wants to contaminate a sterile area with an active infection.<\/span><\/p>\n

Returning to the topic of cost, by reducing the amount patients have to pay, this opens up CXL – both for the treatment of ectasia and corneal infections – to more people, particularly those in low-to-middle income countries (LMICs). By having a cross-linking device that is small enough and portable enough to be mounted on a slit lamp, this also means that CXL can be taken outside of hospital settings to anywhere that has a slit lamp \u2013 which could mean even the most remote locations in LMICs where patients would have almost no chance of travelling to a large city with a hospital and paying for the procedure to be performed in an OR. Hafezi and Torres call this “democratizing” corneal cross-linking, and they review these topics in the article, plus all of the other issues that have needed to be overcome to make CXL at the slit lamp a reality.<\/span><\/p>\n

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Este m\u00eas, a principal revista de oftalmologia do Brasil, Oftalmologica Em Foco, apresenta o Prof. Hafezi e o Dr. Torres-Netto da ELZA explorando a hist\u00f3ria de como o CXL na l\u00e2mpada de fenda est\u00e1 a tornar-se uma realidade.<\/p>","protected":false},"author":4,"featured_media":17157,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[243,214,96],"tags":[360,352,130,100,355,361,358],"class_list":["post-17148","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-emilio-torres","category-farhad-hafezi","category-popular-press","tag-c-eye","tag-corneal-cross-linking","tag-cross-linking","tag-cxl","tag-cxl-at-the-slit-lamp","tag-farhad-hafezi","tag-slit-lamp"],"acf":[],"yoast_head":"\nMaking CXL at the slit lamp reality - Em Foco Magazine, Brazil<\/title>\n<meta name=\"description\" content=\"Brazil's Oftalmologica Em Foco, features ELZA\u2019s Prof. Hafezi and Dr. Torres-Netto exploring the story of how CXL at the slit lamp is becoming a reality.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.elza-institute.com\/pt\/cxl-an-der-spaltlampe-wird-realitaet\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Making CXL at the slit lamp reality - 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