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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.
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.
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.
Keratoconus is degeneration of the structure of the cornea. The cornea is the clear tissue covering the front of the eye. The shape of the cornea slowly changes from the normal round shape to a cone shape. (PubMed Health). This book is a step by step guide to the diagnosis and treatment of keratoconus. Beginning with an introduction to the classification and patterns of the disease, the following section examines treatment options, discussing in detail when to treat, why to use a particular treatment modality and why not to use other treatment options. Nine case studies are presented, as well as a final self assessment section allowing students to test their knowledge. Key Features Step by step guide to the diagnosis and treatment of keratoconus Clear discussion on which treatments to use and why Nine case studies presented with detailed explanations Includes self assessment section More than 200 colour images and illustrations
The new edition of this leading text atlas on corneal topography has been updated to include the latest advances in technology, such as Pentacam and Orbscan. The principles and theory underlying each technology are first clearly explained, and clinical applications are then examined. The authors describe how to use the different technologies and devices, explain the clinical readout with illustrations of normal corneal topography, discuss applications and findings in common disease states, and present the appearances after various corneal surgical procedures. The pros and cons of each system are highlighted. This up-to-date, superbly illustrated book is the most comprehensive guide to corneal topography currently available. It is anticipated that this second edition will become the seminal corneal topography textbook for all with an interest in corneal disease and its management, and refractive surgery.
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
This book is a concise guide to elevation based tomographic imaging for ophthalmologists and cataract surgeons. Beginning with an introduction and overview of its evolution, the following chapters explain how to understand and interpret the data presented. Various procedures for different conditions are discussed, including the use of Pentacam for cataract disorders. With contributions from internationally renowned authors, this new edition includes more than 200 colour images and illustrations. The final section is a glossary of important terminology.
This book provides comprehensive coverage of the most important corneal diseases in children, including congenital corneal opacities, infectious keratitis, corneal ectasia, ocular surface disorders and allergic eye disease. Highlights include an extensive discussion of corneal surgery in children, in-depth coverage of the role of various anterior segment ocular imaging modalities in the diagnosis and management of corneal diseases in the pediatric population, and surgical videos to further assist the reader. Chapters dedicated to amblyopia management and contact lens use in children round out the volume. Corneal Diseases in Children stands out as one of the few books dedicated to this important topic.