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Keratoconus (KC) is a disorder of the eye that results in progressive thinning of the cornea. [3] The protrusion of the cornea may result in blurry vision, double vision, nearsightedness, irregular astigmatism, [4] and light sensitivity leading to poor quality-of-life.
This possibility should be considered in patients who have fluctuating vision despite well-healed corneas following keratorefractive surgery. Coma (a third-order aberration) is common in patients with decentred corneal grafts , keratoconus , and decentred laser ablations.
In order to see a clear image, the eye must focus rays of light on to the light-sensing part of the eye – the retina, which is located in the back of the eye.This focusing – called refraction – is performed mainly by the cornea and the lens, which are located at the front of the eye, the anterior segment.
Keratoconus, a progressive, noninflammatory, bilateral, asymmetric disease, characterized by paraxial stromal thinning and weakening that leads to corneal surface distortion. [2] Keratoglobus, a rare noninflammatory corneal thinning disorder, characterised by generalised thinning and globular protrusion of the cornea. [3]
The most common cause of dry eye is increased evaporation of the tear film, typically as a result of meibomian gland dysfunction (MGD). The meibomian glands are two sets of oil glands that line the upper and lower eyelids and secrete the oily outer layer of the tear film—the lipid layer.
Abnormal corneal topography compromises of keratoconus, pellucid marginal degeneration, or forme fruste keratoconus with an I-S value of 1.4 or more [4] is the most significant risk factor. Low age, low residual stromal bed (RSB) thickness, low preoperative corneal thickness, and high myopia are other important risk factors.
The rings showed as contour lines projected on the corneal tear film. The French ophthalmologist Louis Émile Javal incorporated the rings in his ophthalmometer and mounted an eyepiece which magnified the image of the eye. He proposed that the image should be photographed or diagrammatically represented to allow analysis of the image.
Common causes include welding with failure to use adequate eye protection such as an appropriate welding helmet or welding goggles. This is termed arc eye , while photokeratitis caused by exposure to sunlight reflected from ice and snow, particularly at elevation, is commonly called snow blindness . [ 5 ]