RT Journal Article
SR Electronic
T1 Management of advanced corneal ectasias
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 34
OP 40
DO 10.1136/bjophthalmol-2015-307059
VO 100
IS 1
A1 Maharana, Prafulla K
A1 Dubey, Aditi
A1 Jhanji, Vishal
A1 Sharma, Namrata
A1 Das, Sujata
A1 Vajpayee, Rasik B
YR 2016
UL http://bjo.bmj.com/content/100/1/34.abstract
AB 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.