A decreasing trend towards the T H 1 cytokines (IFNγ) in KC, may suggest presence of complex imbalance in the cytokines leading to altered epithelial and stromal function in this disease [ 16 ].
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Alterations of tear mediators in patients with keratoconus after corneal crosslinking associate with corneal changes.
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observed decreased IL-13 level in tears of severe KC and an increasing trend in IL-17 [ 16 ].
The changes in the concentration of all the mediators 38 days after CXL compared with the baseline failed to reach statistical significance, and the volume of the collected tears returned back to the pre-CXL levels.