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Keratoconus Treatment Algorithm

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TLDR
Current evidence for cornea cross-linking, intrastromal corneal ring segments, and combined treatments highlights their place in keratoconus management while new promising emerging therapies are being investigated.
Abstract
Keratoconus management has significantly changed over the last two decades. The advent of new interventions such as cornea cross-linking, intrastromal corneal ring segments, and combined treatments provide corneal clinicians a variety of treatment options for the visual rehabilitation of keratoconus patients. This review summarizes current evidence for these treatments and highlights their place in keratoconus management while new promising emerging therapies are being investigated.

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Journal Article

Long Term Comparison of Sequential vs. Same-Day Simultaneous Collagen Cross-Linking and Topography-Guided PRK for Treatment of Keratoconus

TL;DR: In this article, the safety and efficacy of corneal collagen cross-linking and topography-guided photorefractive keratectomy (PRK) using a different sequence and timing were evaluated in consecutive keratoconus cases.
Journal Article

Effects Of Ultraviolet-a And Riboflavin On The Interaction Of Collagen And Proteoglycans During Corneal Cross-linking

TL;DR: In this paper, a model reaction system using purified, non-glycosylated PG core proteins in solution in vitro has been compared with reactions inside an intact cornea, ex vivo, revealing effects of RFUVA on interactions between PGs and collagen cross-linking.
Journal ArticleDOI

Artificial intelligence for anterior segment diseases: Emerging applications in ophthalmology.

TL;DR: An overview of AI applications to the anterior segment addressing keratoconus, infectious keratitis, refractive surgery, corneal transplant, adult and paediatric cataracts, angle-closure glaucoma and iris tumour is provided and important clinical considerations for adoption of AI technologies, potential integration with telemedicine and future directions are highlighted.

Conventional vs accelerated corneal collagen cross-linking in the treatment of keratoconus

LK Ng, +2 more
TL;DR: In this article, the authors compared the effect of conventional corneal collagen cross-linking (CXL) with accelerated CXL in the treatment of keratoconus.
Journal ArticleDOI

Intraocular lens power calculation in keratoconus; A review of literature.

TL;DR: There are multiple sources of biometric error in KCN patients, hence IOL calculation methods may not be as efficient as expected in these eyes, and various methods of IOL power calculation optimization and recommendations may hold the key to improve surgical outcomes in keratoconic eyes.
References
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Journal ArticleDOI

Riboflavin/ultraviolet-a-induced collagen crosslinking for the treatment of keratoconus.

TL;DR: Collagen crosslinking may be a new way for stopping the progression of keratectasia in patients with keratoconus and the need for penetrating keratoplasty might then be significantly reduced in keratconus.
Journal ArticleDOI

Common Genetic Variation In Cellular Transport Genes and Epithelial Ovarian Cancer (EOC) Risk

Ganna Chornokur, +158 more
- 19 Jun 2015 - 
TL;DR: Associations between inherited cellular transport gene variants and risk of EOC histologic subtypes are revealed on a large cohort of women.
Journal ArticleDOI

A 48-Year Clinical and Epidemiologic Study of Keratoconus

TL;DR: From 1935 through 1982, keratoconus was newly diagnosed in a total of 64 residents of Olmsted County, Minnesota; there were no significant trends in incidence rates over time; the overall average annual rate was 2.0 per 100,000 population.
Journal ArticleDOI

Big-bubble technique to bare Descemet's membrane in anterior lamellar keratoplasty.

TL;DR: A lamellar keratoplasty technique to bare Descemet's membrane in which air is injected to detach the central DesceMET's is described, which is faster, safer, and easier to perform than previous methods.
Journal ArticleDOI

Global consensus on keratoconus and ectatic diseases.

TL;DR: This project reached consensus of ophthalmology experts from around the world regarding keratoconus and ectatic diseases, focusing on their definition, concepts, clinical management, and surgical treatments, and provides an insight into the current worldwide treatment of these conditions.
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