PURPOSE To estimate the fitting parameters of the hybrid contact lens in patients with corneal ectasia using the rigid gas permeable (RGP) lens. METHODS Thirty-four eyes with corneal ectasia were evaluated in this study. The patients were examined once with the RGP lens and once with the hybrid contact lens. The relationship between the base curvature of the RGP and the vault of the hybrid le...

PURPOSE Keratoconus is characterized by corneal ectasia and irregular astigmatism, which can lead to diminished vision and corneal scarring. Approximately 10-20% of patients with keratoconus eventually require a corneal transplant. Corneal cross-linking (CXL) is a relatively new treatment that may help prevent the need for corneal transplantation. Here, we investigated whether the introduction ...

Keratoconus (KC) is a progressive non-inflammatory ectatic corneal disease typified by thinning and conical protrusion, as well irregular astigmatism with varying-degree visual impairment. A literature review on the epidemiology, classification diagnosis presented. Current clinical practice most commonly relies Krumeich’s adaptation of ABCD grading system M. Belin Amsler. The KC requires compre...

Intracorneal ring segments (ICRS) are small synthetic implements designed to achieve refractive adjustment by flattening the cornea. Three common types of commercially available ICRS are Intacs, Keraring and Ferrara rings. Low myopia was the initial indication for implantation of ICRS, and indications later included ectatic corneal diseases (such as keratoconus and pellucid marginal degeneratio...

Purpose To report on 2-year results of accelerated corneal collagen cross-linking (CXL) in progressive ectasia using the Avedro KXL system. Design Prospective interventional case series. Methods A total 870 patients (1,192 eyes) attending Moorfields Eye Hospital after CXL were included. All undergoing had keratoconus. Corneas with a minimum stromal thickness Results Twelve- and 24-month follow-...

Our purpose was to examine the long-term efficacy of toric intraocular lens (IOL) implantation in cataract patients with high astigmatism due to corneal ectasia, who underwent phacoemulsification cataract surgery. Five eyes of 3 cataract patients with topographically stable keratoconus or pellucid macular degeneration (PMD), in which phacoemulsification with toric IOL implantation was used to c...

In keratoconus, the cornea becomes progressively ectactic resulting in severe visual impairment. Here, we use a combination of videokeratography and synchrotron X-ray diffraction to investigate the relationship between corneal shape and thickness, and the distribution and predominant orientation of stromal fibrillar collagen in five keratoconus corneas. In all but the least advanced case, the t...