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[Patterns of keratoconus]
E N Gorskova1, E N Sevost'ianov
1Reginal Clinic Hospital, Cheliabinsk.
Vestnik Oftalmologii
|March 21, 1998
Summary
Keratoconus progression varies, with most cases showing chronic progression. Some patients experience long remissions, while a small percentage develop acute keratoconus, indicating the need for early surgical intervention.
Area of Science:
- Ophthalmology
- Corneal Diseases
- Clinical Research
Context:
- Long-term follow-up of 162 patients with keratoconus.
- Analysis of disease progression over up to 15 years.
- Identification of distinct clinical patterns in keratoconus.
Purpose:
- To distinguish and describe clinical patterns of keratoconus.
- To analyze the progression, remission, and acute phases of keratoconus.
- To evaluate the optimal timing for keratoplasty based on disease course.
Summary:
- Three clinical patterns identified: chronic progressive stage, long remission (>5.5 years), and acute stage.
- Keratoconus progression observed for up to 5 years in 82.1% of patients.
- Long remission occurred in 11.4%, while acute keratoconus developed in 6.8% of cases, even at earlier stages.
Impact:
- Highlights the variable clinical course of keratoconus.
- Supports the consideration of early keratoplasty for progressive cases.
- Informs clinical management strategies for keratoconus patients.