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Progressive Keratoconus Treatment with Transepithelial Two-Step Phototherapeutic Keratectomy Combined with Corneal Crosslinking (CXL): Clinical Outcomes and Postoperative Management Including Potential Complications of the Modified Athens Protocol Designed for US-Approved Excimer Laser Specifications.
J Clin Med
November 2024
Ophthalmology Department, LaserVision Ambulatory Eye Surgery Unit, 11521 Athens, Greece.
To report a novel application within the USA of excimer ablation for the normalization of central corneal refractive irregularity, combined with higher fluence CXL in the effective management and visual rehabilitation of progressive keratoconus. 17 consecutive cases with progressive keratoconus were treated with corneal surface excimer laser ablation normalization using topography-guided (Contura) myopic ablation for customized corneal re-shaping with a 6 mm optical zone. The epithelial removal was accounted for by adding a -2.
View Article and Find Full Text PDFEye-Rubbing Detection Tool Using Artificial Intelligence on a Smartwatch in the Management of Keratoconus.
Transl Vis Sci Technol
December 2024
Department of Ophthalmology, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
Purpose: Eye rubbing is considered to play a significant role in the progression of keratoconus and of corneal ectasia following refractive surgery. To our knowledge, no tool performs an objective quantitative evaluation of eye rubbing using a device that is familiar to typical patients. We introduce here an innovative solution for objectively quantifying and preventing eye rubbing.
View Article and Find Full Text PDFVisual Improvement With Wavefront-Guided Scleral Lenses for Irregular Corneal Astigmatism.
Eye Contact Lens
December 2024
Cornea and Laser Eye Institute-CLEI Center for Keratoconus (J.D.G., B.S., T.P., C.E., P.S.H., S.A.G.), Teaneck, NJ; Department of Ophthalmology (J.D.G., D.K., P.S.H., S.A.G.), Rutgers-New Jersey Medical School, Newark, NJ; TX; OVITZ Corporation (N.B., J.W.), Rochester, NY; College of Optometry (G.Y.), University of Houston, Houston, TX.
Purpose: To report interim results of a single center, randomized, double-blind, crossover-controlled clinical trial comparing wavefront-guided (wfg) scleral lenses (SLs) to traditional scleral lenses (tSLs) for patients with a history of irregular corneal astigmatism (ICA).
Methods: Thirty-one ICA eyes of 18 participants were reviewed, 23 with keratoconus, six postcorneal refractive ectasia, and two postpenetrating keratoplasty. Patients with corneal or lens opacities were not excluded from participating.
Enhancing corneal ectasia susceptibility detection: analysis of a new algorithm (BAD-D v4).
Sci Rep
December 2024
Ophthalmology Department, Federal Univeristy of São Paulo, São Paulo, Brazil.
Accurate detection of post-refractive ectasia susceptibility is essential during preoperative evaluation for laser vision correction (LVC) due to the risk of progressive corneal ectasia and vision decline post-surgery. Despite improved screening and a reduced incidence from 0.66 to 0.
View Article and Find Full Text PDF"Outcomes of Iontophoresis Cross-Linking in Asymmetric Keratoconus: A Retrospective Analysis of High Visual Acuity Eyes Under 25 Years Old".
Clin Ophthalmol
November 2024
Department of Ophthalmology, Humanitas San Pio X, Milano, Milan, Italy.
Purpose: To assess the long-term outcomes of transepithelial iontophoresis cross-linking (I-CXL) for early keratoconus with high visual acuity under the age of 25.
Methods: This retrospective study was conducted at the Department of Ophthalmology, Humanitas San Pio X, Milan, Italy, on data collected between 2015 and 2020. Patients diagnosed with early keratoconus and under the age of 25 who underwent to I-CXL were retrospectively reviewed and included in the study if they fulfilled the following criteria: high visual acuity (LogMAR ≤ 0.
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