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Keratocone

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https://www.readbyqxmd.com/read/28317679/distinguishing-between-contact-lens-warpage-and-ectasia-usefulness-of-optical-coherence-tomography-epithelial-thickness%C3%A2-mapping
#1
Julie M Schallhorn, Maolong Tang, Yan Li, Derek J Louie, Winston Chamberlain, David Huang
PURPOSE: To distinguish between corneal ectasia and contact lens-related warpage by characteristic patterns on corneal topography and optical coherence tomography (OCT) epithelial thickness maps. SETTING: Casey Eye Institute, Portland, Oregon, USA. DESIGN: Prospective and retrospective case series. METHODS: Axial and mean power maps were obtained on corneal topography systems. Epithelial thickness maps were generated using RTVue OCT...
January 2017: Journal of Cataract and Refractive Surgery
https://www.readbyqxmd.com/read/28315339/elastic-microfibril-distribution-in-the-cornea-differences-between-normal-and-keratoconic-stroma
#2
Tomas L White, Philip N Lewis, Robert D Young, Koji Kitazawa, Tsutomu Inatomi, Shigeru Kinoshita, Keith M Meek
The optical and biomechanical properties of the cornea are largely governed by the collagen-rich stroma, a layer that represents approximately 90% of the total thickness. Within the stroma, the specific arrangement of superimposed lamellae provides the tissue with tensile strength, whilst the spatial arrangement of individual collagen fibrils within the lamellae confers transparency. In keratoconus, this precise stromal arrangement is lost, resulting in ectasia and visual impairment. In the normal cornea we previously characterised the three-dimensional arrangement of an elastic fiber network spanning the posterior cornea from limbus-to-limbus...
March 14, 2017: Experimental Eye Research
https://www.readbyqxmd.com/read/28303580/synteyes-ktc-higher-order-statistical-eye-model-for-developing-keratoconus
#3
Jos J Rozema, Pablo Rodriguez, Irene Ruiz Hidalgo, Rafael Navarro, Marie-José Tassignon, Carina Koppen
PURPOSE: To present and validate a stochastic eye model for developing keratoconus to e.g. improve optical corrective strategies. This could be particularly useful for researchers that do not have access to original keratoconic data. METHODS: The Scheimpflug tomography, ocular biometry and wavefront of 145 keratoconic right eyes were collected. These data were processed using principal component analysis for parameter reduction, followed by a multivariate Gaussian fit that produces a stochastic model for keratoconus (SyntEyes KTC)...
March 17, 2017: Ophthalmic & Physiological Optics: the Journal of the British College of Ophthalmic Opticians (Optometrists)
https://www.readbyqxmd.com/read/28300733/a-correlation-analysis-of-cone-characteristics-and-central-keratometric-readings-for-the-different-stages-of-keratoconus
#4
Alvin Jeffrey Munsamy, Vanessa Racquel Moodley
BACKGROUND: Knowledge of the cone characteristics for the different stages of keratoconus may potentially assist practitioners in diagnosing and managing keratoconic patients. AIM: This study aims to determine if any correlation exists between the central keratometric readings and the cone characteristics for the different stages of keratoconus. SETTING: A university eye clinic. MATERIALS AND METHODS: In this retrospective study, a saturated sample of 190 eyes from 106 cases of previously diagnosed keratoconic patient files was analyzed...
January 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28299302/cornea-collagen-cross-linking-for-keratoconus-a-comparison-between-accelerated-and-conventional-methods
#5
Hasan Razmjoo, Alireza Peyman, Ali Rahimi, Hoda Jafari Modrek
BACKGROUND: Keratoconus is a progressive degenerative disorder of the cornea in which structural changes in the cornea cause it to become thin and conical in shape. Recently, collagen cross-linking (CXL) has been introduced as an effective intervention in management of progressive keratoconus. Accelerated CXL is a new protocol of this procedure which reduces corneal ultraviolet irradiation exposure time to 5 min. This study aimed to compare visual acuity, keratometry and topographic criteria of keratoconic eyes after conventional and accelerated CXL with a six-month follow-up...
2017: Advanced Biomedical Research
https://www.readbyqxmd.com/read/28270986/sub-micrometer-axial-resolution-oct-for-in-vivo-imaging-of-the-cellular-structure-of-healthy-and-keratoconic-human-corneas
#6
Kostadinka Bizheva, Bingyao Tan, Benjamin MacLelan, Olivera Kralj, Mojtaba Hajialamdari, Denise Hileeto, Luigina Sorbara
Corneal degenerative conditions such as keratoconus (KC) cause progressive damage to the anterior corneal tissue and eventually severely compromise visual acuity. The ability to visualize corneal tissue damage in-vivo at cellular or sub-cellular level at different stages of development of KC and other corneal diseases, can aid the early diagnostics as well as the development of more effective treatment approaches for various corneal pathologies, including keratoconus. Here, we present the optical design of an optical coherence tomography system that can achieve 0...
February 1, 2017: Biomedical Optics Express
https://www.readbyqxmd.com/read/28261495/keraring-intrastromal-segment-depth-measured-by-spectral-domain-optical-coherence-tomography-in-eyes-with-keratoconus
#7
Ugo de Sanctis, Carlo Lavia, Marco Nassisi, Savino D'Amelio
Purpose. To evaluate agreement between measured and intended distance of Keraring (Mediphacos, Belo Horizonte, Brazil) intracorneal ring segments from the anterior and posterior corneal surfaces. Methods. Twenty-six Keraring ICRS implanted in 24 keratoconic eyes were examined. The distance from the Keraring apex to the anterior corneal surface and the distance from the inner and the outer corners to the posterior corneal surface were measured 3 months postoperatively using spectral-domain optical coherence tomography...
2017: Journal of Ophthalmology
https://www.readbyqxmd.com/read/28251158/molecular-and-histopathological-changes-associated-with-keratoconus
#8
REVIEW
Mariam Lotfy Khaled, Inas Helwa, Michelle Drewry, Mutsa Seremwe, Amy Estes, Yutao Liu
Keratoconus (KC) is a corneal thinning disorder that leads to loss of visual acuity through ectasia, opacity, and irregular astigmatism. It is one of the leading indicators for corneal transplantation in the Western countries. KC usually starts at puberty and progresses until the third or fourth decade; however its progression differs among patients. In the keratoconic cornea, all layers except the endothelium have been shown to have histopathological structural changes. Despite numerous studies in the last several decades, the mechanisms of KC development and progression remain unclear...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28251081/effects-of-contact-lens-wearing-on-keratoconus-a-confocal-microscopy-observation
#9
Somnath Ghosh, Haliza A Mutalib, Sharanjeet-Kaur, Rituparna Ghoshal, Shamala Retnasabapathy
AIM: To evaluate the corneal cell morphology of new keratoconus patients wearing two different types of rigid gas-permeable (RGP) contact lenses for 1y. METHODS: Thirty nine eyes of 39 new keratoconus patients were selected and randomly fitted with two types of RGP contact lenses. Group 1 had 21 eyes with regular rigid gas-permeable (RRGP) contact lens and rest 18 eyes were in group 2 with specially designed rigid gas-permeable (SRGP) contact lens. Corneal cell morphology was evaluated using a slit scanning confocal microscope at no-lens wear and after 1y of contact lens wearing...
2017: International Journal of Ophthalmology
https://www.readbyqxmd.com/read/28215504/a-case-of-in-vivo-iontophoresis-assisted-corneal-collagen-cross-linking-for-keratoconus-an-immunohistochemical-study
#10
Mirko Manetti, Eleonora Favuzza, Eleonora Sgambati, Rita Mencucci, Mirca Marini
The standard corneal collagen cross-linking (CXL), that includes the removal of corneal epithelium to permit adequate penetration of riboflavin in the stroma, is an established procedure to halting keratoconus progression. However, as epithelial removal may cause postoperative pain and an increased risk of corneal infection, new therapeutic approaches have been proposed. Iontophoresis is a recently developed non-invasive technique which provides the use of electrical current during CXL to enhance transepithelial penetration of riboflavin into the corneal stroma...
February 15, 2017: Acta Histochemica
https://www.readbyqxmd.com/read/28165607/prevalence-of-eyelid-laxity-and-its-association-with-ophthalmic-findings-and-disease-severity-in-patients-with-keratoconus
#11
Mohammad Naderan, Ali Jahanrad, Mahgol Farjadnia
PURPOSE: To investigate the prevalence of eyelid laxity and quantify eyelid measurements in normal and keratoconic eyes and the correlations of these findings with ophthalmic parameters and disease severity in patients with keratoconus (KC). METHODS: In a prospective case-control study, prevalence of eyelid laxity and eyelid measurements were evaluated in 53 patients with KC and the same number of matched healthy controls. The eyelid measurements were compared between the groups, as well as mean keratometry (K), central and thinnest corneal thickness (CCT and TCT), astigmatism, manifest refraction spherical equivalent (MRSE), best spectacle-corrected visual acuity (BCVA), and severity of KC according to the Keratoconus Severity Score...
February 3, 2017: European Journal of Ophthalmology
https://www.readbyqxmd.com/read/28164597/visual-system-homeobox-1-vsx1-gene-analysis-in-keratoconus-design-of-specific-primers-and-dna-amplification-protocols-for-accurate-molecular-characterization
#12
Jun B Ng, Rozaida Y Y Poh, Kenneth R Lee, Visvaraja Subrayan, Jenny P Deva, Amy Y L Lau, Jin A M A Tan
BACKGROUND: Keratoconus is an ocular degeneration characterized by the thinning of corneal stroma that may lead to varying degrees of myopia and visual impairment. Genetic factors have been reported in the pathology of keratoconus where Asians have a higher incidence, earlier onset, and undergo earlier corneal grafts compared to Caucasians. The visual system homeobox 1 (VSX1) gene forms part of a paired-like homeodomain transcription factor which is responsible for ocular development...
September 1, 2016: Clinical Laboratory
https://www.readbyqxmd.com/read/28129298/copper-in-keratoconic-corneas
#13
Lubica Dudakova, Cerys J Evans, Petra Liskova
No abstract text is available yet for this article.
January 26, 2017: Cornea
https://www.readbyqxmd.com/read/28089285/thick-keratoconic-cornea-associated-with-posterior-polymorphous-corneal-dystrophy
#14
K Zaarour, E Slim, J Antoun, N Waked
INTRODUCTION: We herein report a case of bilateral unusually thick non-edematous keratoconic corneas with associated endothelial features of posterior polymorphous corneal dystrophy (PPCD). CASE REPORT: We report the case of a 27-year-old myopic woman who presented for refractive surgery. Slit lamp exam showed bilateral corneal protrusion with diffuse deep stromal and endothelial vesicular opacities and small paracentral bands. Topography showed generalized advanced corneal steepening in both eyes with increased anterior and posterior central corneal elevations in comparison to the best fit sphere...
January 12, 2017: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/27994389/characteristics-of-keratoconic-patients-attending-a-specialist-contact-lens-clinic-in-kenya
#15
Zahra Aly Rashid, Michel Millodot, Katharine S E Evans
PURPOSE: To describe the characteristics of keratoconus (KC) patients seen in a contact lens clinic of a children's hospital in Kenya. RESULTS: A total of 254 patients' records were analyzed. Mean age at presentation to the clinic was 20.97 ± 11.13 year (range, 6-84 years) with 75% between the ages of 6 and 25 years. There was a preponderance of males (59.8%). Most patients were referred by an ophthalmologist. All patients were Africans. The most common complaints were blurred vision (50%), poor visual acuity with spectacles (33...
October 2016: Middle East African Journal of Ophthalmology
https://www.readbyqxmd.com/read/27993593/repeatability-and-agreement-of-orbscan-ii-pentacam-hr-and-galilei-tomography-systems-in-corneas-with-keratoconus
#16
Jay J Meyer, Akilesh Gokul, Hans R Vellara, Zak Prime, Charles Nj McGhee
PURPOSE: To assess the repeatability and agreement of keratometry and pachymetry measurements obtained using three tomographers in eyes with keratoconus. DESIGN: Reliability analysis. METHODS: Setting: Institutional. STUDY POPULATION: 50 eyes of 50 participants with keratoconus. Observational Procedure: Steep keratometry, flat keratometry, central corneal thickness (CCT), and thinnest corneal thickness (TCT) measurements using Galilei, Orbscan II, and Pentacam HR...
December 16, 2016: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/27956045/biomechanical-properties-of-early-keratoconus-suppressed-deformation-signal-wave
#17
Hassan Hashemi, Asghar Beiranvand, Abbasali Yekta, Amir Asharlous, Mehdi Khabazkhoob
PURPOSE: To examine the diagnostic validity of different corneal biomechanical parameters for the detection of early keratoconus METHODS: Sixty-one eyes with a diagnosis of early keratoconus and 61 topographically normal eyes were enrolled in the study. All participants underwent testing with the Ocular Response Analyzer (ORA), and 40 indices from each cornea were included in the analysis. RESULTS: The mean (standard deviation: SD) of keratometry and central corneal thickness in keratoconic corneas was 46...
December 9, 2016: Contact Lens & Anterior Eye: the Journal of the British Contact Lens Association
https://www.readbyqxmd.com/read/27930793/intracorneal-ring-segments-implantation-for-corneal-ectasia
#18
Natalia T Giacomin, Glauco R Mello, Carla S Medeiros, Alyin Kiliç, Cristine C Serpe, Hirlana G Almeida, Newton Kara-Junior, Marcony R Santhiago
PURPOSE: To provide an overview of the predictability, safety, and efficacy of intrastromal corneal ring segment (ICRS) implantation as a tool to improve visual acuity and its association with other techniques such as corneal collagen cross-linking (CXL), addressing biomechanical outcomes, models, surgical planning and technique, indications, contraindications, and complications in ectatic corneas. METHODS: Literature review. RESULTS: ICRSs have been used to regularize the corneal shape and reduce corneal astigmatism and higher order aberrations, improve visual acuity to acceptable limits, and delay, or eventually prevent, a corneal keratoplasty in keratoconic eyes...
December 1, 2016: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/27930790/detection-of-keratoconus-with-a-new-biomechanical-index
#19
Riccardo Vinciguerra, Renato Ambrósio, Ahmed Elsheikh, Cynthia J Roberts, Bernardo Lopes, Emanuela Morenghi, Claudio Azzolini, Paolo Vinciguerra
PURPOSE: To evaluate the ability of a new combined biomechanical index called the Corvis Biomechanical Index (CBI) based on corneal thickness profile and deformation parameters to separate normal from keratoconic patients. METHODS: Six hundred fifty-eight patients (329 eyes in each database) were included in this multicenter retrospective study. Patients from two clinics located on different continents were selected to test the capability of the CBI to separate healthy and keratoconic eyes in more than one ethnic group using the Corvis ST (Oculus Optikgeräte GmbH, Wetzlar, Germany)...
December 1, 2016: Journal of Refractive Surgery
https://www.readbyqxmd.com/read/27897442/pupillary-offset-in-keratoconus-and-its-relationship-with-clinical-and-topographical-features
#20
Gozde Hondur, Nurullah Cagil, Ozge Sarac, Meltem Ece Ozcan, Pinar Kosekahya
PURPOSE: To evaluate the change in the location of pupillary center with corneal tomography in keratoconic patients, and determine the correlation of pupillary offset with clinical and topographical features of keratoconus. METHODS: Ninety-one eyes of the 54 patients with keratoconus in different stages and 39 eyes of 39 refractive surgery candidates with normal corneas were included in our study. Ocular aberrations and the pupillary offset parameters (x-offset and y-offset) over a 5 mm (undilated) pupil were measured with a Sirius corneal tomographer...
November 29, 2016: Current Eye Research
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