Safwan Al Bayati

New Vision Eye Center , UAE



Biography

Safwan Al Bayati has completed his MB, ChB from Baghdad College of Medicine, Iraq. He then completed Board in Ophthalmology (FICMS Ophthal­mology) from the Iraqi Commission for Medical Specialization and FRCS Fellowship of Royal College of Physicians and Surgeons of Glasgow, UK. He has worked as a Director of the Ophthalmic Department and Specialist Ophthalmologist, Phaco-Refractive-Retina Surgeon at NMC Specialty Hos­pital, Dubai, UAE. Then he has worked as a Consultant Ophthalmologist, Phaco-Refractive-Retina Surgeon at Imperial Healthcare Institute, DHCC, Dubai, UAE. Currently he is the Founder, Medical Director and Consultant Ophthalmologist, Phaco-Refractive-Retina Surgeon at New Vision Eye Cen­ter, DHCC, Dubai, UAE.

Abstract

Purpose: To assess the safety, efficacy, visual outcome and corneal asymmetry, of partial surface ablation laser guided by corneal wavefront combined with accelerated cross-linking in the treatment of keratoconus (KC).

Methods: The study included, 32 eyes of 32 patients aged between 18 and 40 years with KC (partial surface ablation laser guided by corneal wavefront combined with accelerated cross-linking in the treatment of keratoconus). Pre and post-operative evaluations included: refraction, uncorrected, corrected distance visual acuity, flat and steep keratometry reading. Symmetry index front: inferior-superior ratio, complication were evaluated 1, 3, 6, and 12 months post-operation.

Results: All study parameters showed a statistically significant improvement at 3, 6, 12 months over pre-operative values. At 12 months, UDVA improved from 20/125 to 20/30 with P< 0.0001, CDVA improved from 20/40 to 20/25 with P<0.0001, SEQ improved from -5.19 (D) to -1.56 D with P<0.0001 and SIF improve from 6.1 D to 1.2 D.

Conclusion: Partial surface ablation laser guided by corneal wavefront combined with accelerated cross-linking in the treatment of keratoconus is a safe and effective procedure that regularizes the ectatic corneal surface, improving visual function of progressive KC without over correction and no progressing of cone lower part.