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Angle Closure Glaucoma: Treatment01:28

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Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
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Three Different Protocols of Corneal Collagen Crosslinking in Keratoconus: Conventional, Accelerated and Iontophoresis
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Pediatric keratoconus.

Yogita Gupta1, Chandradevi Shanmugam1, Priyadarshini K1

  • 1Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Delhi, India.

Survey of Ophthalmology
|October 13, 2024
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Summary

Pediatric keratoconus, a progressive corneal disease, demands early detection and intervention. Treatments like corneal collagen crosslinking and keratoplasty are vital for managing this condition in children to prevent vision loss.

Keywords:
Corneal collagen crosslinkingCrosslinkingKeratoconusPediatric keratoconusVernal keratoconjunctivitis

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Area of Science:

  • Ophthalmology
  • Corneal Diseases
  • Pediatric Eye Care

Background:

  • Pediatric keratoconus presents aggressively, differing significantly from adult forms.
  • It leads to vision impairment, amblyopia, and impacts quality of life.
  • Rapid progression necessitates early diagnosis and monitoring in children.

Purpose of the Study:

  • To highlight the unique characteristics and challenges of pediatric keratoconus.
  • To emphasize the importance of early diagnosis and timely intervention.
  • To discuss current management strategies and their implications.

Main Methods:

  • Review of pediatric keratoconus presentation and progression.
  • Analysis of management options including corneal collagen crosslinking and keratoplasty.
  • Discussion of factors influencing intervention and rehabilitation.

Main Results:

  • Pediatric keratoconus exhibits rapid progression and higher complication rates.
  • Corneal collagen crosslinking effectively halts disease progression.
  • Keratoplasty offers a viable option when conservative measures fail, despite post-operative challenges.

Conclusions:

  • Early diagnosis and vigilant monitoring are critical for pediatric keratoconus.
  • A multidisciplinary approach is essential for comprehensive management.
  • Timely intervention mitigates the long-term impact on children's vision and quality of life.