Purpose : The purpose of our study is to assess safety of CXL with epithelium removal for the treatment of KC on the corneal endothelium by using endothelial specular microscopy comparing the following parameters (cct , cv, cd, hex) before and after CXL.
Patients and methods: This study was performed in Sohag ophthalmology department in Sohag university hospital in collaboration with Sohag Oyon misr centre. A total of 30 keratoconic eyes of 23 patients were evaluated for corneal thickness and endothelial cell changes before and 6 monthes after CXL (with specular microscopy).
Results:Mean age of the study group was 28.70 years ± 3.5 years ranged from (22-33) years old .There was no significant difference between pre-and postoperative CCT or CD but CV increased and HEX decrease signsificantly.
Conclusion: Epi-off CXL method has been firmly established to be safe on corneal endothelium , effective and the global standard of care for the treatment of progressive keratoconus.