I have several patients over 30 years with diagnosis of keratoconus based on single topography. As per guidelines only progressive disease should be treated by CXL. Should I do repeat topography in a few months or go straight for CXL? VA is adequate, CCT>450
Mehdi Jahanmard
Hi
most ophthalmologist may postpone CCL in these cases until progression of Keratoconus can be documented in fullow ups
but I do CCl immediately if
the cone is very close to the corneal center and visual acquity is threatened
If the the other eye has low vision because of KC or other ethiology
In women in premenopause period
who with thiner then weaker cornaea (thinnest point close to 400nnm) more likely to be progressive even after 30
best
Mehdi Jahanmard
0 votes
0 thanks
More Rozaliya Hristova's questions See All
Similar questions and discussions