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This book provides a practical guide to the most recent advances in the diagnostic management of corneal ectasia. Clear, concise chapters address new standardized nomograms of treatment of early progressive ectasia, new epithelium on future crosslinking with and without oxygen supplement, customized protocols, laser assisted corneal regularization protocols and the new femtolaser assisted lamellar corneal transplant. Clinicians and surgeons seeking a go-to guide on the topic of corneal ectasia will find this book to be an essential resource for the latest developments and predicted future trends in the field.
This book, designed for ophthalmologists and particularly for refractive surgeons, aims to develop practical and clinical skills in readers so that they are able to make the right decisions in managing keratoconus. There are four main chapters. The first is devoted to diagnosis and describes the clinical signs, the appearances on microscopy, and the significance of corneal hysteresis and corneal topography. Classifications and patterns of keratoconus are then presented, and the author offers his own new classification of topographic patterns. The third chapter addresses the management of the disease in detail. Both non-interventional and interventional approaches are discussed with due attention to contraindications and complications. In addition, a novel classification of management parameters is suggested, and a systematic approach to management, formulated. In the final chapter this approach is applied to nine cases that serve as clinical examples.
As a degenerative disorder of the eye, keratoconus can cause substantial distortion of vision, with multiple images, streaking, and sensitivity to light all reported by patients. Keratoconus: Recent Advances in Diagnosis and Treatment updates ophthalmologists about the innovations that have occurred within the last decade, discussing the diagnostic imaging techniques that have been developed for keratoconus diagnosis, understanding of how examination techniques are related to the evolution of keratoconus, and how to indicate the different therapeutic tools that have been created for keratoconus over the last several years. Additionally, fundamentals for new diagnostic elements, based on the mathematical, physical and biomechanical data are analyzed in depth for a better understanding of the essential diagnostic steps for the clinician to guide patients towards the most adequate therapeutic tool in the case. Modern keratoplasty techniques, assisted by femtosecond lasers or other devices, are also covered and these techniques, along with the emerging conservative treatments, have added to more precise control of the evolution of the disease.
This book presents new technologies which are available now for the rehabilitation of visual acuity in patients suffering from keratoconusand for arresting the progression of this frustrating disease. All these current treatment options in differing combinations aim to improve the quality of life of the patients and although successful, they are causing confusion for the ophthalmologists; what procedure to do and when? How to perform? Which combination of treatments to choose? Controversies in the Management of Keratoconusprovidesthe widely used treatment options for keratoconus including collagen corneal cross –linking (CXL) covering all the available techniques, intrastromal corneal ring segments (ICRS) , phakic intra-ocular lenses (IOLs), photorefractive keratectomy (PRK) combined or not with CXL penetrating keratoplasty (PK) and deep anterior lamellar keratoplasty ( DALK). Each treatment is addressed by more than one author with different points of view in order to present the various approaches, the logic behind them and the most relevant clinical data available.A chapter by the editor tries to put some light on how to navigate among these controversies. This book will be of interest to trainees as well as the specialized ophthalmologists.
A concise clinical resource for the contact lens practitioner on the diagnosis and management of keratoconus. Evaluation and fitting of the patient with contact lenses is covered in detail, as are guidelines to determine if the patient would benefit from a corneal transplant to correct the bulging of the cornea and improve visual acuity. * Comprehensive source for the contact lens practitioner on the management of keratoconus * The most recent clinical findings for management of keratoconus in a single source * Drs. Zadnik and Barr are internationally recognized experts on keratoconus
The book covers various aspects of the management of keratoconus, which is a leading cause of visual impairment in young adults. It focuses on the epidemiology and risk factors of keratoconus with a special focus on Southeast Asia. Keratoconus affects the quality of vision, thereby affecting the quality of life. While most patients present with defective vision, many are diagnosed accidentally during screening for refractive surgery. The book covers the varied epidemiology of keratoconus across different parts of the world. It discusses many systemic and ocular diseases associated with keratoconus. The book covers the newer diagnostic techniques and various treatment procedures for keratoconus, helping in diagnosing keratoconus in the early stages and closely watching the progression. It discusses various contact lenses to improve vision quality; widely used collagen crosslinking, and its various modifications for halting the progression. It also explains the surgical approach for keratoconus, such as penetrating keratoplasty, lamellar keratoplasty and other lens-assisted procedures. The book is relevant for general ophthalmologists and cornea specialists.
Over the recent years, keratoconus and keratoectasis have become increasingly important diseases in ophthalmic practice due to the increasing number of keratorefractive surgery cases and the availability of new treatment modalities other than corneal transplantation. For both the genetic form of the disease (keratoconus) and the acquired form (keratoectasia), new modalities of diagnosis and treatments have become available, enabling physicians to treat these two ecstatic corneal diseases earlier and effectively, delaying or even avoiding major surgeries such as corneal transplantation. This book is a concise, well-illustrated and clinically indispensable guide for treating these two important corneal diseases.
Textbook on Keratoconus introduces the latest developments and techniques for the treatment of keratoconus. The book begins with an introduction to the epidemiology, genetics and pathology of the condition, followed by detailed sections on its diagnosis and treatment. With contributions from numerous international ophthalmic experts, the text examines new surgical techniques such as intracorneal rings, phakic intraocular lenses, topographic guided photorefractive keratectomy, femtosecond laser corneal implants and collagen corneal cross-linking.
Offering practical clinical guidance for early diagnosis and effective management, Keratoconus: Diagnosis and Management is a concise, easy-to-read guide to help mitigate loss of vision in patients in a way that does not interfere with quality of life. From early diagnosis and intervention through the most up-to-date treatment and surgical approaches, this consolidated reference covers the essential information needed by cornea fellows and specialists, general ophthalmologists, residents, and optometrists. Provides expert, step-by-step guidance and real-world perspectives from global contributors in the field. Covers the latest advances in cornea transplantation, corneal collagen cross-linking (CXL) in adult and pediatric patients, intrastromal corneal rings, intraocular lenses, corneal regeneration, and laser surgery. Includes quick-reference boxes throughout highlighting essential clinical facts, pitfalls, potential complications, and clinical guidelines. Presents real-world case studies of actual patient scenarios from early to advanced disease states. Features high-quality imaging for keratoconus at various stages, including OCT, Brillouin scanning microscopy, Scheimpflug and combined Placido and Scheimpflug, combined Placido and AS-OCT, clinical and surgical photos, and more.
Covers every aspect of ophthalmology, combining the latest on genetics, diagnostic tips and techniques, proven management strategies, surgical approaches, new drugs, and more. An esteemed author team and contributions of hundreds of top-tier practitioners provide guidance on practically every ophthalmic condition and procedure. It is filled with a collection of 2,500 detailed photographic images, and includes a CD-ROM with full text, slides, and navigation tools for quick access and easy use.