London 2014 Registration Visa Letters Programme Satellite Meetings Glaucoma Day 2014 Exhibition Hotel Booking Virtual Exhibition Star Alliance
london escrs

Course handouts are now available
Click here


Come to London

video-icon

WATCH to find out why


Site updates:

Programme Updates. Programme Overview and - Video Symposium on Challenging Cases now available.


Posters

Search Abstracts by author or title
(results will display both Free Papers & Poster)

Optimized decision-tree for keratoconus management: from advance ocular analysis to penetrating keratoplasty

Poster Details

First Author: F.Faria-Correia PORTUGAL

Co Author(s):    I. Ramos   T. Monteiro   B. Lopes   B. Valbon   F. Vaz   R. Ambrósio Jr.

Abstract Details



Purpose:

Keratoconus (KC) is one of the leading indications for corneal transplant worldwide. Currently, there is a shift from the gold-standard penetrating keratoplasty to other less-invasive surgical treatment options. Based on the current literature and clinical cases presentation, we describe our optimized decision-tree for KC management.

Setting:

Ophthalmology Department, Hospital de Braga, Braga - Portugal; Instituto de Olhos Renato Ambrósio, Rio de Janeiro - Brazil; Rio de Janeiro Corneal Tomography and Biomechanics Study Group

Methods:

Retrospective case series. Five KC cases with different grades of severity were managed based on the decision-tree. Relevant literature was reviewed to establish the more suitable management approach for KC cases and to define the preoperative factors for good visual outcomes.

Results:

In Case 1, a conservative approach with contact lenses was selected, after wavefront-assisted manifest refraction and ocular surface optimization. Cases 2 to 5 represent different grades of KC with progressive disease and/or contact lens intolerance. We selected different surgical treatment modalities (alone or combined) based on the advanced ocular analysis. During the postoperative period, the patients achieved a best-corrected visual acuity superior to 20/30 with less complains regarding the optical quality.

Conclusions:

This optimized decision-tree was found very useful for the plan of treatment strategy of different stages of KC. The main therapeutic goals were achieved: stop progression of the disease, visual rehabilitation and avoid the need of a corneal transplant. FINANCIAL INTEREST: One of more of the authors... receives nonNONEmonetary benefits from a company producing, developing or supplying the product or procedure presented.

Back to Poster listing