| Treatment strategies for corneal ectasia. | |
| | |
MedLine Citation:
|
PMID: 20489623 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE OF REVIEW: To review the most recent management strategies for corneal ectasia after keratorefractive surgery. RECENT FINDINGS: Management options for postoperative ectasia include conservative management with various types of contact lenses such as rigid gas permeable lenses, custom wave front-guided soft contact lenses, hybrid lenses and tandem soft contact lens-rigid gas permeable lenses. Minimally invasive surgical options including corneal ring segment implantation with Intacs, KeraRings or Ferrara rings have shown to have good results in the initial period after insertion. However, there appears to be some evidence that this initial effect may regress with time. Collagen cross-linking is also minimally invasive and has been documented to stop the progression of ectasia and in some cases may cause regression. Recently, techniques combining collagen cross-linking with intracorneal ring segments or with topography-guided excimer laser treatments have shown to have promising results. SUMMARY: Early management of ectasia is essential to prevent its progression and to preserve visual potential. There are several management options that are available that may be used to reduce the need for corneal transplantation for these patients. |
| | |
Authors:
|
Jennifer G Bromley; J Bradley Randleman |
Related Documents
:
|
12731133 - Tacrolimus ointment for the management of atopic dermatitis. 15327473 - Photocontact dermatitis. 17925903 - Children and autism--part 2--management with complementary medicines and dietary interv... |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review |
Journal Detail:
|
Title: Current opinion in ophthalmology Volume: 21 ISSN: 1531-7021 ISO Abbreviation: Curr Opin Ophthalmol Publication Date: 2010 Jul |
Date Detail:
|
Created Date: 2010-06-15 Completed Date: 2010-08-13 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9011108 Medline TA: Curr Opin Ophthalmol Country: United States |
Other Details:
|
Languages: eng Pagination: 255-8 Citation Subset: IM |
Affiliation:
|
Emory Eye Center & Emory Vision, Atlanta, Georgia, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Corneal Diseases
/
therapy* Dilatation, Pathologic / therapy Humans Postoperative Complications* Refractive Surgical Procedures |
| Grant Support | |
ID/Acronym/Agency:
|
P30 EYO6360//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Use of mitomycin-C for phototherapeutic keratectomy and photorefractive keratectomy surgery.
Next Document: Increasing rates of myopia: the long view.