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Updated: Jul 3, 2026

Three Different Protocols of Corneal Collagen Crosslinking in Keratoconus: Conventional, Accelerated and Iontophoresis
Published on: November 12, 2015
Experimental models for keratoconus: Insights and challenges
Sujithra Shankar1, Rashmi Deshmukh2, Tejaswini Pingali1
1Centre for Ocular Regeneration (CORE), Prof. Brien Holden Eye Research Centre (BHERC), L V Prasad Eye Institute, Hyderabad, India.
Abstract:
Keratoconus, a progressive corneal disorder characterized by the thinning and conical protrusion of the cornea because of collagen degradation, poses significant challenges to both clinicians and researchers. Most successful animal models of keratoconus are based on genetic mutations and knock-outs in mice and rats that hinder normal corneal stromal architecture, thickness, or strength. While mice and rat models are suitable to study the molecular mechanism and physiological changes to the cornea, they are not suitable for experimental research; especially for surgical interventions like: deep anterior lamellar keratoplasty (DALK), stromal lenticule addition keratoplasty, and other advanced therapies. This review article comprehensively examines recent advancements in experimental models for keratoconus, focusing on their potential for translational research and the challenges ahead. It explores the historical context of experimental models, focusing on animal-based models, mainly rabbits in particular. These advancements enable researchers to mimic the biomechanical and biochemical alterations observed in keratoconic corneas. While these models offer valuable insights into disease mechanisms and treatment development, several challenges remain in transforming experimental findings into clinical applications.
Insights
This review explores advanced keratoconus experimental models, highlighting rabbit models for surgical research. These models aid understanding disease mechanisms and developing new corneal treatments.
Area of Science:
- Ophthalmology
- Corneal Diseases
- Translational Research
Background:
- Keratoconus is a progressive corneal disorder causing thinning and protrusion due to collagen degradation.
- Current mouse and rat models are limited for studying surgical interventions like deep anterior lamellar keratoplasty (DALK).
Purpose of the Study:
- To review recent advancements in experimental keratoconus models.
- To assess their potential for translational research and identify challenges.
Main Methods:
- Comprehensive review of historical and recent experimental models for keratoconus.
- Focus on animal-based models, particularly rabbits, for mimicking keratoconic biomechanical and biochemical alterations.
Main Results:
- Advancements in experimental models, especially in rabbits, allow better mimicry of keratoconus.
- These models facilitate research into disease mechanisms and therapeutic strategies.
Conclusions:
- Newer models, particularly rabbit models, show promise for translational research in keratoconus.
- Challenges persist in translating experimental findings into clinical applications for keratoconus treatment.
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