Quo Vadis Older Keratoconus Patients? Do They Die at Younger Ages?

McMonnies, Charles W.

doi:10.1097/ico.0b013e31825aba0e

Cited by 16 publications

(10 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[9][10][11] What happens to affected patients later on in their life remains unknown. 12 The pathogenesis of keratoconus is complicated and includes environmental factors, atopy, and hereditary susceptibility. 13,14 Eye rubbing, contact lens wear, and ultraviolet radiation appear to be important factors.…”

mentioning

confidence: 99%

Comparison of Standard Versus Accelerated Corneal Collagen Cross-Linking for Keratoconus: A Meta-Analysis

Wen

Song

et al. 2018

Invest. Ophthalmol. Vis. Sci.

View full text Add to dashboard Cite

show abstract

mentioning

confidence: 99%

Comparison of Standard Versus Accelerated Corneal Collagen Cross-Linking for Keratoconus: A Meta-Analysis

Wen

Song

et al. 2018

Invest. Ophthalmol. Vis. Sci.

View full text Add to dashboard Cite

show abstract

“…In the absence of symptoms, a delayed onset and diagnosis may represent a failure to examine for or detect changes due to early keratoconus, perhaps especially when methods based on recent technological advances were not or are not employed. Prevalence of keratoconus in older groups may be reduced by increased mortality rates . Comparisons with the upper limit of estimates of the prevalence of keratoconus made prior to 1966 (230 per 100,000) with the prevalence more recently found among candidates for refractive surgery suggest an increased prevalence.…”

Section: Increasing Prevalence or Better Detection?mentioning

confidence: 90%

Screening for keratoconus suspects among candidates for refractive surgery

McMonnies

2014

Clinical and Experimental Optometry

View full text Add to dashboard Cite

This review examines methods for estimating the risk of post‐surgical ectasia in candidates for refractive surgery by establishing a diagnosis of keratoconus suspect as a contraindication for proceeding with surgery. Notwithstanding the desirability of achieving 100 per cent sensitivity, any associated reduction in specificity and increased numbers of false positives might deny some candidates the opportunity to proceed with refractive surgery. The introduction of a model for the risk of ectasia involving both pre‐ and post‐surgical findings has been followed by a plethora of attempts to achieve the same purpose based on topographic and/or tomographic evaluation before surgery. The desirability of being able to depend on objective assessment using one type of instrument needs to be weighed against the possibility that subjective assessments may contribute significantly to screening success. For example, consideration of ethnicity, family history of keratoconus, a history of atopy or ocular allergies in particular, a history of significant exposure to corneal trauma associated with abnormal rubbing habits or with vocational, leisure or geographically increased exposure to ultraviolet radiation or with contact lens wear trauma or a history of significant exposure to activities which elevate intraocular pressure may improve screening success. To the extent that these factors could contribute to increased risk of the development of keratoconus, they may be useful in estimating the risk of post‐surgical ectasia. If any combination of these factors helps to explain the development of keratoconus in normal or even thicker than normal corneas, they may have more significance for those corneas, which have been thinned surgically.

show abstract

“…The thinning and protrusion of the cornea can lead to visual loss and eventual need for corneal transplantation. Systemic diseases such as obstructive sleep apnea and mitral valve prolapse are associated with keratoconus [16]. Refractive surgery is contraindicated in patients with keratoconus because it can lead to post-surgical corneal thinning and blindness.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Review of the Duke University Men’s Basketball Team Eye Screening

Legault¹,

Hansen²,

Kim³

2014

Medicine & Science in Sports & Exercise

View full text Add to dashboard Cite

Objectives: To assess the utility and effectiveness of performing eye screenings on young healthy athletes. Design: Retrospective review Methods: The eye screening cards of the Duke University Men's Basketball players over a ten year period were reviewed. Visual acuity, intraocular pressure, portable slit lamp exam and undilated direct ophthalmoscopy were recorded for each subject and analyzed. Any patient with an abnormality during screening received a comprehensive eye exam. Results: A total of 60 players were screened. 14 out of 60 (23%) of athletes wore contact lenses. 9 out of 60 (15%) of athletes had uncorrected refractive error. 6 out of 60 (10%) of athletes were diagnosed as glaucoma suspects.1 out of 60 (2%) of athletes had keratoconus. Conclusion: Eye screening of healthy athletes is beneficial to identify refractive error and glaucoma/keratoconus suspects as well as to provide education on contact lens hygiene.

show abstract

Quo Vadis Older Keratoconus Patients? Do They Die at Younger Ages?

Cited by 16 publications

References 40 publications

Comparison of Standard Versus Accelerated Corneal Collagen Cross-Linking for Keratoconus: A Meta-Analysis

Comparison of Standard Versus Accelerated Corneal Collagen Cross-Linking for Keratoconus: A Meta-Analysis

Screening for keratoconus suspects among candidates for refractive surgery

Retrospective Review of the Duke University Men’s Basketball Team Eye Screening

Contact Info

Product

Resources

About