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Post-Bader procedure: a long-term follow-up case study.

Nir Erdinest¹, Dror Ben Ephraim², Naomi London³

¹Department of Ophthalmology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Arquivos Brasileiros De Oftalmologia

|July 20, 2022

Summary

This summary is machine-generated.

The Bader procedure for keratoconus (KC) showed promise, but this case highlights the need for ongoing management. Contact lenses were used to maintain vision as corneal ectasia progressed over ten years.

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Area of Science:

Ophthalmology
Corneal Surgery
Vision Science

Background:

Keratoconus is a progressive corneal disorder causing visual decline due to irregular astigmatism and thinning.
The Bader procedure, involving deep corneal incisions, aims to flatten the cornea and reduce visual aberrations.
Previous studies indicated the Bader procedure's high potential for managing keratoconus progression.

Observation:

This report details a patient with progressive keratoconus and corneal ectasia.
The patient underwent the Bader procedure, a surgical intervention for keratoconus.
Vision was managed with contact lenses over a decade despite ongoing corneal changes.

Findings:

The Bader procedure did not halt the progression of the patient's corneal ectasia and thinning.
Contact lenses were essential for maintaining visual acuity throughout the decade of observation.
Corneal topography and visual function continued to be affected by the progressive nature of the disease.

Implications:

This case underscores that the Bader procedure may not arrest keratoconus progression in all patients.
Long-term monitoring and adaptive visual rehabilitation strategies, such as contact lens fitting, are crucial for managing progressive keratoconus.
Further research is needed to evaluate the long-term efficacy and limitations of surgical interventions for keratoconus.