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Three Different Protocols of Corneal Collagen Crosslinking in Keratoconus: Conventional, Accelerated and Iontophoresis
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Diagnostic patterns in keratoconus.

Elke O Kreps1, Ilse Claerhout2, Carina Koppen3

  • 1Department of Ophthalmology, Ghent University Hospital, Corneel Heymanslaan 10, 9000 Ghent, Belgium; Faculty of Medicine and Medical Sciences, University of Ghent, Sint-Pietersnieuwstraat 33, 9000, Ghent, Belgium.

Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association
|May 26, 2020
PubMed
Summary
This summary is machine-generated.

Keratoconus is frequently diagnosed late, limiting treatment benefits. Early detection through improved screening strategies is crucial for better patient outcomes and maximizing the effectiveness of corneal crosslinking.

Keywords:
Corneal crosslinkingKeratoconusScreeningSpecialty contact lenses

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Area of Science:

  • Ophthalmology
  • Corneal Diseases
  • Vision Science

Background:

  • Keratoconus is a progressive corneal ectasia affecting young adults.
  • Timely diagnosis and intervention are critical for managing keratoconus progression.

Purpose of the Study:

  • To analyze current diagnostic and referral patterns for keratoconus.
  • To identify potential delays in keratoconus diagnosis and management.

Main Methods:

  • Retrospective chart review of 399 patients diagnosed with keratoconus between 2013 and 2018.
  • Inclusion criteria focused on recent diagnoses, excluding longstanding cases and prior surgeries.

Main Results:

  • Average age at diagnosis was 24.7 years.
  • 32.2% of eyes had thinnest pachymetry <450 μm at diagnosis.
  • 58% of patients received specialty contact lenses, and 27.6% underwent corneal crosslinking within the follow-up period.

Conclusions:

  • Keratoconus diagnosis is often delayed, despite advanced tools.
  • Earlier detection could enhance the clinical benefits of corneal crosslinking.
  • Development of cost-effective screening programs is needed.