2019International Journal of Keratoconus and Ectatic Corneal DiseasesOpen access

Therapeutic Analysis in Patients with Keratoconus

Pablo Felipe Rodrigues, Natália Dayane Moura Carvalho, Thaiane F Guerra, Cristiane F Moutinho, Françuilner Santiago dos Santos, Renan Akira Miyashiro, Rosangela Simoncelli, Bernardo Kaplan Moscovici

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Abstract

ABSTRACT Aim This study aimed at assessing the therapeutic decisions made by an individual keratoconus specialist in the last 10 years, to treat patients with keratoconus. Materials and methods We studied a case series and the descriptive analysis of individual cases treated by a single keratoconus specialist. Medical records of 636 patients totaling 1271 eyes were evaluated based on the therapeutic procedure used. Results For the treatment of keratoconus, the specialist chose expectant (only spectacles) in 22.3% of the cases, contact lenses in 39.3%, implantation of intrastromal corneal ring segments (ICRS) in 27.7%, cross-linking in 0.9%, and penetrating keratoplasty in 8.5% of the cases. Conclusion The keratoconus specialist preferred noninvasive therapeutic options to improve vision quality, such as spectacles and contact lenses. Clinical significance Show the therapeutic preferences of a keratoconus specialist in order to compare with the daily practice. How to cite this article Carvalho N, Guerra TF, Moutinho CF, et al. Therapeutic Analysis in Patients with Keratoconus. Int J Kerat Ect Cor Dis 2019;8(2):40–42.

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ABSTRACT Aim This study aimed at assessing the therapeutic decisions made by an individual keratoconus specialist in the last 10 years, to treat patients with keratoconus. Materials and methods We studied a case series and the descriptive analysis of individual cases treated by a single keratoconus specialist. Medical records of 636 patients totaling 1271 eyes were evaluated based on the therapeutic procedure used. Results For the treatment of keratoconus, the specialist chose expectant (only spectacles) in 22.3% of the cases, contact lenses in 39.3%, implantation of intrastromal corneal ring segments (ICRS) in 27.7%, cross-linking in 0.9%, and penetrating keratoplasty in 8.5% of the cases. Conclusion The keratoconus specialist preferred noninvasive therapeutic options to improve vision quality, such as spectacles and contact lenses. Clinical significance Show the therapeutic preferences of a keratoconus specialist in order to compare with the daily practice. How to cite this article Carvalho N, Guerra TF, Moutinho CF, et al. Therapeutic Analysis in Patients with Keratoconus. Int J Kerat Ect Cor Dis 2019;8(2):40–42.

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Available abstract

ABSTRACT Aim This study aimed at assessing the therapeutic decisions made by an individual keratoconus specialist in the last 10 years, to treat patients with keratoconus. Materials and methods We studied a case series and the descriptive analysis of individual cases treated by a single keratoconus specialist. Medical records of 636 patients totaling 1271 eyes were evaluated based on the therapeutic procedure used. Results For the treatment of keratoconus, the specialist chose expectant (only spectacles) in 22.3% of the cases, contact lenses in 39.3%, implantation of intrastromal corneal ring segments (ICRS) in 27.7%, cross-linking in 0.9%, and penetrating keratoplasty in 8.5% of the cases. Conclusion The keratoconus specialist preferred noninvasive therapeutic options to improve vision quality, such as spectacles and contact lenses. Clinical significance Show the therapeutic preferences of a keratoconus specialist in order to compare with the daily practice. How to cite this article Carvalho N, Guerra TF, Moutinho CF, et al. Therapeutic Analysis in Patients with Keratoconus. Int J Kerat Ect Cor Dis 2019;8(2):40–42.

Key concepts: Keratoconus, Medicine, Ophthalmology, Therapeutic effect, Clinical Practice, Optometry, Cornea, Surgery

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