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Topography-guided treatment in regular and irregular corneas
Shreyas Ramamurthy1, B Soundarya1, Gitansha S Sachdev1
1The Eye Foundation, Coimbatore, Tamil Nadu, India.
Indian Journal of Ophthalmology
|November 24, 2020
Summary
Advancements in corneal topography enable precise refractive surgery for regular and irregular corneas. This technology corrects vision by addressing lower and higher-order aberrations, improving visual quality for more patients.
Area of Science:
- Ophthalmology
- Refractive Surgery
- Corneal Imaging
Background:
- Refractive surgery has advanced significantly due to improved ablation profiles.
- Corneal imaging reveals higher-order aberrations, impacting visual quality.
- Topographic measurements offer a repeatable, pupil-independent platform for aberration correction.
Purpose of the Study:
- To review current literature and guidelines for topographic treatment of regular and irregular corneas.
- To highlight the role of corneal topography in correcting visual aberrations.
- To discuss advancements in treating conditions like keratoconus and ectasia.
Main Methods:
- Review of current scientific literature and clinical guidelines.
- Analysis of advancements in corneal imaging and ablation profiles.
- Examination of topography-guided treatments combined with collagen cross-linking.
Main Results:
- Topography-guided treatments can correct both lower and higher-order aberrations.
- Improved visual quality is achievable even in patients with seemingly regular corneas.
- Combined treatments enhance the scope for managing irregular corneas (e.g., keratoconus, ectasia).
Conclusions:
- Corneal topography is crucial for personalized refractive surgery.
- Topographic treatments offer enhanced visual outcomes for a wider range of corneal conditions.
- Further research and adherence to guidelines will optimize treatment efficacy.
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