National survey of corneal cross-linking (CXL) practice patterns in the United Kingdom during 2019

Hayes, Sally ORCID: https://orcid.org/0000-0001-8550-0108, Jaycock, Philip, Rees, Nicholas, Figuerio, Francisco, O'Brart, David and Meek, Keith ORCID: https://orcid.org/0000-0002-9948-7538 2023. National survey of corneal cross-linking (CXL) practice patterns in the United Kingdom during 2019. Eye 37 , pp. 2511-2517. 10.1038/s41433-022-02365-z

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Abstract

Objective To provide an insight into trends in corneal cross-linking (CXL) practice in the UK, including criteria for progression of corneal ectasia, identification of patients for CXL, the CXL procedure itself and post-operative management. Methods All ophthalmologist members of the UK Cross-linking (UK-CXL) Consortium were invited to complete an online survey about CXL practice for the year 2019. The data collected was anonymised by site and analysed with descriptive statistics. Results Responses were received from 16 individual CXL centres (16/38; 42% response rate) and the data represented ~2,000 CXL procedures performed in the UK in 2019. The commonest indication for CXL was progressive keratoconus. Between centres, there were variations in diagnostic evaluation, patient selection for CXL, the CXL procedure and the pre- and post-operative monitoring of patients. Conclusion Consistent with the wide number of CXL treatment techniques described in the published literature world-wide, variations in the monitoring of corneal ectasia, indications for CXL, CXL practice and post-CXL follow-up were found to exist between UK-based CXL centres.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Optometry and Vision Sciences
Publisher:	Nature Publishing Group
ISSN:	0950-222X
Funders:	MRC
Date of First Compliant Deposit:	15 December 2022
Date of Acceptance:	6 December 2022
Last Modified:	11 Oct 2023 20:23
URI:	https://orca.cardiff.ac.uk/id/eprint/154933

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