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Special Report on

Management of Keratoconus

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A 22-year-old male with keratoconus was referred for progressive corneal ectasia and worsening visual acuity. Initial management included spectacle correction, but progression of his disease required correction with rigid gas permeable contact lenses. Best corrected visual acuity was 20/100 OD, 20/50 OS and 20/50 OU. The patient was unable to work because of poor vision. Glasses did not provide adequate correction and he was intolerant of contact lenses, particularly in the right eye in which the lens continued to pop out despite the best possible fit. The patient was referred to the University of Iowa Cornea Service ...
years and attains its most severe state in the twenties and thirties. If afflicting both eyes, the deterioration in vision can affect the patient's ability to drive a car or read normal print. In most cases, corrective lenses are effective enough to allow the patient to continue to drive legally and likewise function normally. Further progression of the disease may require surgery including intrastromal corneal ring segments , corneal collagen cross-linking, or corneal transplantation . However, despite the disease's unpredictable course, keratoconus can often be successfully managed with little or no impairment to the ...
Management of Keratoconus
Keratoconus is a bilateral, progressive, non inflammatory conic deformity of the central or more commonly the paracentral cornea, because of abnormal thinning of the stroma. The apex of the cone is located downward and nasally from the visual axis and may protrude 10 to 15D or an additional 2 mm in relation to the normal height of the cornea, which is 2.5 mm.The area of ectasia is generally limited to 3 to 6 mm in diameter and this is the zone of greatest thinning. ONSET OF KERATOCONUS The condition begins in adolescence, mean age of onset is 15 years, but we have seen it in a 4 year old male child. It rarely develops after 30 ... market research, surveys and trends
Pattern of use of contact lens among college students: A cross ...
The use of contact lens (CL) for the correction of refractive errors, cosmetic use and their usage as a therapeutic modality for corneal pathologies has increased tremendously over the years. The present study was conducted with the aim to find a pattern of CL use amongst college students with a focus on the rationale for CL use and problems related to their use. This study includes 371 college students who were current users of CL at the time of the study. Results showed that 96.8% of the CL users use the 'daily wear type' of CL. Most quoted reasons of usage were comfort and convenience (61.2%) with cosmetic benefit ... market research, surveys and trends


Care of the Contact Lens Patient -- Optometric Clinical Practice ...
Of the approximately 36 million Americans—perhaps 75 million people ..... management of keratoconus or in other therapeutic cases, such as ocular ...... The clinician can expect to spend approximately 1 percent of CL-related ... industry trends, business articles and survey research
Newsletter - Summer 2008/2009 - FLINDERS OPHTHALMOLOGY
million. The principal importance of these grants is that they .... About ten percent of patients with the condition have relatives that are affected. The genetics ... management of keratoconus is steadily improving but there ... industry trends, business articles and survey research


Keratoconus: Diagnosis, contact lens fitting and management
Management of keratoconus varies considerably, depending on the contact lens service available to deal with moderate to advanced cases. ... technology research, surveys study and trend statistics
A Clinical Study of Keratoconus in Asian Patients and Assessment ...
A Clinical Study of Keratoconus in Asian Patients and Assessment of Different Topographic Patterns of Keratoconus in Asian Patients   Purpose A clinical study of keratoconus in Asian Patients and assessment of different topographic patterns of keratoconus in Asian patients Observational Model: Case Control Observational Model: Natural History Time Perspective: Cross-Sectional Time Perspective: Prospective Further study details as provided by Singapore National Eye Centre: Detailed Description: This hospital-based observational prospective study was designed to describe the ... technology research, surveys study and trend statistics
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