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Screening procedures and surgical management of keratoconus in a European ophthalmological practice

Session Details

Session Title: Cornea Surgical II

Session Date/Time: Wednesday 09/10/2013 | 08:00-10:30

Paper Time: 08:00

Venue: Forum (Ground Floor)

First Author: : P.Condon IRELAND

Co Author(s): :                  

Abstract Details

Purpose:

To document a management process for all grades of eye keratoconus disease in a large group of patients and relatives with reference to Cross Linking (CXL), Intracorneal rings (ICR) and Deep Anterior Lamellar Keratectomy (DALK)

Setting:

Waterford Eye Specialists Practice

Methods:

All young persons" presenting with myopia, with or without astigmatism, the immediate relatives of KC patients and Down"s Syndrome were screened topographically for evidence of Forme Fruste (FF) and active KC. FF and early KC cases were monitored every six months for progression and referred for CXL if seemed to progress. Only advanced cases with astigmatism up to 58D were first treated with CXL some of which were followed by ICR six months later. Cases with apical scarred corneas and gross astigmatism were referred for DALK. Finally contact lenses were used to optimise and rehabilitate vision if necessary.

Results:

In a period of 5 years (2008-2013) 160 patients (295 eyes with KC) were treated with either CXL alone (27 eyes). Femtosecond ICR either alone or combined with CXL (23 eyes) and DALK in 12 eyes for more advanced cases. Visual results were excellent and will reported in the final presentation

Conclusions:

In view of the fact that early treatment with XCL is so successful in stabliisation of KC, the use of contact lenses is considered more appropriate for visual rehabilitation of patients who have been treated with the above treatments. Monitoring for progression of KC was also considered to be more difficult with the wearing of contacts.

Financial Interest:

NONE