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When thinking clinically about a keratoconus outside refractive surgery review?

Poster Details


First Author: M.Yassine MOROCCO

Co Author(s): A. Redouane   I. Rafik   K. Mohamed   E. Loubna   A. Bouchra   E. Asmaa     

Abstract Details

Purpose:

Keratoconus is a progressive, non-inflammatory corneal ectasia that can lead to severe impairment of vision. Keratoconus is one of the most common indications for keratoplasty. most commonly present during adolescence, an early diagnosis provide a better management. Outside a review of preoperative refractive surgery ; how and when suspect clinically a keratoconus ?

Setting:

pediatric ophthalmology department, 20 August Hospital, Ibn Rochd University Hospital Faculty of Medicine and Pharmacy-Hassan II University Casablanca

Methods:

we report and describe (pictures and videos) the clinical findings of keratoconus: symtoms, external signs, Slit lamp findings, retroilumination signs, Placido disc sign, refraction abnormaties, Others signs.

Results:

Symptoms : age (10-20); blurred vision distorted; increased sensibility of light and glare, eye redness or swelling In later stages, keratoconus symptoms often include: more blurry and distorted vision, increased nearsightedness or astigmatism, new eyeglass prescriptions often, sudden painful diminution of vision(acute hydrops)       External signs : munsen sign, rizzutti sign       Slit lamp findings : corneal  stromal thinning, vogt’stria, Fleischer ring, corneal scarring, acute hydrops        Retroillumination signs : Oil droplet sign, scissoring reflex         Placido disc sign, refraction abnormaties         Others findings like allergic conjonctivitis, retinitis pigmentosa, congenital cataract, marfan sydrom, turner syndrome, crouzon sydrome, Down sydrome...

Conclusions:

The early diagnosis of keratoconus remains a challenge for the ophthalmologist, the better knowledge of early clinical signs provide an early diagnosis and a good management

Financial Disclosure:

None

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