Progressive Keratoconus

ATHENS, Greece — One-year data of high-fluence accelerated epithelium-off corneal cross-linking for keratoconus showed efficacy comparable to cross-linking with the Dresden protocol, according to a speaker at the ESCRS winter meeting.

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.

INDIANAPOLIS — Although early detection of keratoconus is critical, it is also important to understand how to manage later-onset or progressive disease in older patients, according to a lecture at Academy 2024.

Cross-linking is a unique procedure. As cornea surgeons, we depend on referring doctors to screen for keratoconus, a relatively rare disease.

Glaukos announced that Epioxa, its next-generation corneal cross-linking iLink therapy for the treatment of keratoconus, demonstrated statistically significant improvement from baseline vs. placebo in maximum corneal curvature at 12 months.

Screening for keratoconus should be part of all pediatric eye exams. While this disease typically manifests around puberty, there can be signs of progressive keratoconus much earlier in some cases.

Post-refractive ectasia is very rare. The incidence is only about 0.1% per 100,000 eyes undergoing LASIK and less than that in eyes undergoing PRK or SMILE.

FRANKFURT, Germany — Intrastromal lamellar keratoplasty combined with collagen cross-linking enhances the tectonic stability and biomechanical strength of keratoconic corneas while flattening the cornea and improving visual acuity.

VILAMOURA, Portugal — Topography-guided corneal cross-linking for progressive keratoconus leads to stable inferior corneal Kmax flattening and superior corneal steepening, with significant improvement of vision, according to a study.

In this video perspective from the virtual ESCRS winter meeting, Emilio Torres-Netto, MD, discusses new measurement parameters as potential determinants of progression after cross-linking.