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Management of advanced corneal ectasias
  1. Prafulla K Maharana1,
  2. Aditi Dubey1,
  3. Vishal Jhanji2,
  4. Namrata Sharma3,
  5. Sujata Das4,
  6. Rasik B Vajpayee5
  1. 1Department of Ophthalmology, All India Institute of Medical Sciences, Bhopal, India
  2. 2Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong
  3. 3Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
  4. 4L.V.Prasad Eye Institute, Bhubaneswar, India
  5. 5Vision Eye Institute, Royal Victorian Eye and Ear Hospital, North West Academic Centre, University of Melbourne, Melbourne, Australia
  1. Correspondence to Professor Rasik B Vajpayee, Vision Eye Institute, Royal Victorian Eye and Ear Hospital, North West Academic Centre, University of Melbourne, Melbourne, VIC 3002, Australia; rasikv{at}unimelb.edu.au

Abstract

Corneal ectasias include a group of disorders characterised by progressive thinning, bulging and distortion of the cornea. Keratoconus is the most common disease in this group. Other manifestations include pellucid marginal degeneration, Terrien's marginal degeneration, keratoglobus and ectasias following surgery. Advanced ectasias usually present with loss of vision due to high irregular astigmatism. Management of these disorders is difficult due to the peripheral location of ectasia and associated severe corneal thinning. Newer contact lenses such as scleral lenses are helpful in a selected group of patients. A majority of these cases requires surgical intervention. This review provides an update on the current treatment modalities available for management of advanced corneal ectasias.

  • Cornea
  • Treatment Surgery
  • Treatment other

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