Management Approaches in Corneal Keratoconus

Corneal Keratoconus is a disease characterised by gradual thinning of central and peripheral stroma resulting in protrusion and reduced visual activity. The aetiology of keratoconus is an underlying genetic predisposition coupled with environmental factors, including eye rubbing and atopy. Spectacles, contact lens and Intrastromal Corneal Ring Segments (ICRS) remain fundamental to optic management of keratoconus. These contact lens and ICRS do not treat underlying disease process. Keratoplasty – Penetrating Keratoplasty (PK), deep anterior lamellar keratoplasty (DALK) treatment of choice for advance form of keratoconus. Therefore, current approach is corneal collagen cross-linking (CXL). CXL aims at stiffing the cornea using a combination of UV-A light and chromophore (Vit-B12, riboflavin) and proposed in various indications, from progressive ecstatic disease to corneal infection.

Keywords

Best Corrected Visual Acuity (BCVA), Spectacles and Contact Lens (SCL), Intrastromal Corneal Ring Segment (ICRS), Conservative, Intermediate and Advanced Treatment, Keratoplasty -PK, DALK, Corneal Collagen Cross Linking (CXL).

Impact byBIP!

	selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	0
	popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.	Average
	influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	Average
	impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.	Average