{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:39:23Z","timestamp":1790948363171,"version":"4.1.0"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Outcome of topography-guided excimer laser ablation in conjunction with accelerated, high-fluence cross-linking in corneal ecstatic disease using the NIDEK CXIII equipped with CATz algorithm from the FinalFit software\u2014\u201dBharat Protocol.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective case record review of 30 eyes of 17 patients of stage 1-3 keratoconus who underwent the procedure was performed. Data collected were for visual acuity, distortion-induced eye pain, and keratometry. Pachymetry, lower order and higher order aberrations, spherical aberrations, and topographic cylinder were documented from by Scheimpflug imaging (Pentacam 70700: Oculus, Wetzlar, Germany).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      At a minimum follow-up of 6 months (range 6.2\u201313 months), there was significant improvement in UCVA (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.00001), BCVA (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0061), decrease in Kmax (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0349), Ksteep (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0411), Kflat (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0099), and pachymetry (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0001). Significant improvement was also seen in distortion-induced eye pain (27\/30 to 2\/30;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.00001). A more than two-line improvement in UCVA and BCVA was seen in 23\/30 and 17\/30 cases, respectively. Ectasia was stabilized in all cases at the last follow-up, and no complications were seen.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The \u201cBharat\u201d Protocol to arrest keratectasia progression and improve corneal regularity is a safe and efficacious alternative as a keratoconus management option. This is the first such study on Nidek Platform for the same.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_295_23","type":"journal-article","created":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T07:54:26Z","timestamp":1692604466000},"page":"3203-3209","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Outcomes of topography-guided PRK\/CXL in keratoconus using the NIDEK CXIII system\u2014\u201dBharat Protocol\u201d (Pilot study)"],"prefix":"10.4103","volume":"71","author":[{"given":"Rajat","family":"Jain","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Cornea, Ocular Surface and Anterior Segment Services, Jain Eye Hospital and LASER Centre, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusra","family":"Shuaib","sequence":"additional","affiliation":[{"name":"Optometrist, Department of Ophthalmology, Cornea, Ocular Surface and Anterior Segment Services, Jain Eye Hospital and LASER Centre, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Mohan","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Retina Services, Jain Eye Hospital and LASER Centre, Shalimar Bagh, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikas","family":"Mittal","sequence":"additional","affiliation":[{"name":"Cornea and Anterior Segment Services, L. 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