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Keratoconus: diagnosis and treatment

L T Nordan1

  • 1Total Eye Care Center, La Jolla, CA 92037, USA.

International Ophthalmology Clinics
|January 1, 1997
PubMed
Summary

Automated topography aids in detecting keratoconus and assessing corneal optical quality for refractive surgery. However, it should complement, not replace, manual keratometry for accurate diagnosis and surgical planning.

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Area of Science:

  • Ophthalmology
  • Corneal Surgery
  • Diagnostic Imaging

Background:

  • Keratoconus diagnosis is crucial for refractive surgery planning.
  • Corneal topography and keratometry are key diagnostic tools.

Purpose of the Study:

  • To evaluate the role of automated topography in diagnosing keratoconus.
  • To determine the additive value of automated topography alongside manual keratometry.
  • To highlight the importance of assessing corneal optical quality for refractive surgery outcomes.

Main Methods:

  • Review of patient history, refraction, keratometry, and slit-lamp examination.
  • Inclusion of automated topography as a screening and documentation tool.
  • Comparison of information provided by automated topography and manual keratometry.

Main Results:

  • Automated topography is effective in screening for keratoconus and documenting corneal status.
  • Automated topography provides valuable information on corneal optical quality, impacting surgical choices and outcomes.
  • Manual keratometry remains essential for accurate refractive error assessment and detecting subtle keratoconus.

Conclusions:

  • Automated topography is a valuable adjunct to, but not a replacement for, manual keratometry.
  • Accurate diagnosis of keratoconus and assessment of irregular astigmatism are vital for successful refractive surgery.
  • Corneal optical quality assessment is paramount for refractive surgery planning and patient satisfaction.

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