Therapeutic Analysis in Patients with Keratoconus

JOURNAL TITLE: International Journal of Keratoconus and Ectatic Corneal Diseases

Author
1. Pablo F Rodrigues
2. Thaiane F Guerra
3. Natalia Carvalho
4. Françuilner S dos Santos
5. Cristiane F Moutinho
6. Rosangela A Simoncelli
7. Renan A Miyashiro
8. Bernardo K Moscovici
ISSN
2277-3800
DOI
10.5005/jp-journals-10025-1184
Volume
8
Issue
2
Publishing Year
2019
Pages
3
Author Affiliations
    1. Department of Ophthalmology, UPO, São Bernardo do Campo, São Paulo, Brazil
    1. Department of Ophthalmology, UPO, São Bernardo do Campo, São Paulo, Brazil
    1. Department of Ophthalmology, UPO, São Bernardo do Campo, São Paulo, Brazil
    1. Department of Ophthalmology, UPO, São Bernardo do Campo, São Paulo, Brazil
    1. Department of Ophthalmology, UPO, São Bernardo do Campo, São Paulo, Brazil
    1. Department of Ophthalmology, UNICO, São Paulo, Brazil
    1. Department of Ophthalmology and Visual Sciences, Federal University of São Paulo, SP, Brazil
    1. Department of Opthalmology and Visual Sciences, Unifesp, São Paulo, Brazil
  • Article keywords
    Cornea, Corneal diseases, Corneal stroma, Corneal topography, Keratoconus

    Abstract

    Aim: This study aimed at assessing the therapeutic decisions made by an individual keratoconus specialist in the last 10 years, to treat patients with keratoconus. Materials and methods: We studied a case series and the descriptive analysis of individual cases treated by a single keratoconus specialist. Medical records of 636 patients totaling 1271 eyes were evaluated based on the therapeutic procedure used. Results: For the treatment of keratoconus, the specialist chose expectant (only spectacles) in 22.3% of the cases, contact lenses in 39.3%, implantation of intrastromal corneal ring segments (ICRS) in 27.7%, cross-linking in 0.9%, and penetrating keratoplasty in 8.5% of the cases. Conclusion: The keratoconus specialist preferred noninvasive therapeutic options to improve vision quality, such as spectacles and contact lenses. Clinical significance: Show the therapeutic preferences of a keratoconus specialist in order to compare with the daily practice.

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