keratoconus

OCTs ushering new era in complex contact lens fittingsComplex contact lenses, including scleral lenses, have unique fitting considerations that may be augmented with additional optic scans, says Jeffrey Sonsino, OD, FAAO, of Nashville, TN, at SECO 2017.
7 strategies for fitting keratoconus patientsTry these seven strategies to improve your keratoconus contact lens fitting and offer better outcomes to your patients.
Toward emmetropia: More advances, more improvementsAdvances in treatments for keratoconus and presbyopia in 2016 continued to move patients toward emmetropia.
Crosslinking showing potential for refractive correction
Crosslinking showing potential for refractive correctionPhotorefractive intrastromal cross-linking is being developed for non-invasive correction of low refractive errors.
Bowman layer transplantation effective in advanced keratoconus
Bowman layer transplantation effective in advanced keratoconusIsolated Bowman layer transplantation can reduce and stabilize corneal ectasia in eyes with progressive advanced keratoconus, researchers said. “It flattens the cornea into a more normal position,” said Jack Parker, MD, a researcher at the Netherlands Institute for Innovative Ocular Surgery (NIIOS) in Rotterdam, The Netherlands. “It doesn’t give them perfect vision, but it keeps them from getting worse. It lets them to continue wearing their contact lenses.”
Why single-instrument screening for keratoconus remains a dreamThe promise of simple, objective, single instrument-based screening for highly asymmetric keratoconus in patients considering LASIK is still more of an idea than reality. Multiple metrics can identify early keratoconus in a minority of affected eyes, but none of the metrics consistently identify early corneal abnormalities and none of the metrics identify the same eyes as being at elevated risk for ectatic disease.
Keratoconus: Thinking outside the coneIn this column, I will describe various keratoconus case scenarios from my referral-based practice—ranging from the highly complex to simple—that can be improved with single or staged techniques that move patients toward emmetropia.
Collagen corneal cross-linking for keratoconusThe recently approved procedure will help many with this progressive disease
Clinical implications of corneal cross-linkingNow that we have CXL , it is imperative for clinicians to incorporate new technologies that can help us achieve disease detection at the earliest clinical stage prior to onset of visual symptoms.
Optimizing cataract outcomes when keratoconus is present
Optimizing cataract outcomes when keratoconus is presentPatients with keratoconus pose unique challenges with IOL calculations.