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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. [3] [5] [6] Usually both eyes are affected. [3]
Corneal cross-linking (CXL) with riboflavin (vitamin B 2) and UV-A light is a surgical treatment for corneal ectasia such as keratoconus, [2] PMD, and post-LASIK ectasia. It is used in an attempt to make the cornea stronger. According to a 2015 Cochrane review, there is insufficient evidence to determine if it is useful in keratoconus. [3]
Additionally, 76% of eyes had uncorrected vision of 20/40 or better at 3 years. [5] From 2 to 10 years post-operatively 43% of eyes had an increase in farsightedness by 1.00D or more. Despite this, 70% of patients reported not requiring corrective lenses for distance vision 10 years after surgery.
They are now mostly used to treat mild to moderate keratoconus. [1] Intrastromal corneal rings were approved in 2004 by the Food and Drug Administration for people with keratoconus who cannot adequately correct their vision with glasses or contact lenses, and for whom corneal transplant is the only other option. [5]
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 thinning of the cornea, is a common corneal disorder. Keratoconus occurring after refractive surgery is called Corneal Ectasia. It is believed that additional thinning of the cornea via refractive surgery may contribute to advancement of the disease [31] that may lead to the need for a corneal transplant.
Keratoconus in itself is a pattern of the entire cornea, therefore every measurement just focusing on one layer, might not be enough for a state of the art diagnosis. Especially early cases of keratoconus might be missed by a plain topographic measurement, which is critical if refractive surgery is being considered. [7]
The first two sort of floaters may collect over the fovea (the center of vision), and therefore be more visible, when a person is lying on his or her back looking upwards. Blue field entoptic phenomenon has the appearance of tiny bright dots moving rapidly along squiggly lines in the visual field.