Keratoconus

People with trisomy 21, or Down syndrome, have a significantly elevated risk for keratoconus, with many reports citing a 30% prevalence of keratoconus in this population.

In eyes with keratoconus, no contact lens — whether soft, gas permeable or scleral — can arrest progression of the underlying disease process, even when it does achieve the goal of helping the patient see better.

ATHENS, Greece — Implantation of customized lenticules could offer a tailored solution for corneal remodeling in eccentric keratoconus, according to an ex vivo study.

ATHENS, Greece — In this Healio Video Perspective from the ESCRS winter meeting, Farhad Hafezi, MD, PhD, discusses his PACE technique for keratoconus.

As cornea specialists, we talk a lot about how to get timely referrals of keratoconus patients from optometrists and ophthalmologists who don’t perform cross-linking. But it is also important to recognize our role in transitioning the patient back to the referring doctor. To me, there are three key elements of a successful handoff.

At Bascom Palmer Eye Institute, we are fortunate to have a large network of clinicians who refer patients to our cornea service.

ATHENS, Greece — In this Healio Video Perspective from the ESCRS winter meeting, A. John Kanellopoulos, MD, discusses cross-linking protocols for keratoconus.

ATHENS, Greece — Cross-linking CAIRS before implantation makes insertion easier, enhances the flattening effect and eliminates potential sources of infection, according to a speaker.

ATHENS, Greece — In this Healio Video Perspective from the ESCRS winter meeting, Harminder S. Dua, MD, PhD, professor of ophthalmology at the University of Nottingham, discusses the implications of Dua’s layer in corneal pathology.

In our OD-MD practice, cross-linking is performed in-house, and the optometrists do the bulk of the work in documenting progression of keratoconus or ectasia changes over time.