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Anglais

Challenging the « No Rub, No Cone » Keratoconus Conjecture. D Gatinel. Int J Kerat Ect Cor Dis. 2018;7(1):;66-81

This article aims to provide a comprehensive explanation for the physio pathogenesis of keratoconus and demonstrate why it is not corneal dystrophy of genetic origin, but primarily a warpage of the corneal dome of mechanical origin. Keratoconus is not a true ectasia. Rather, it results from the permanent corneal deformation caused by the buckling of […]

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Comparison of the effect of LASIK parameters on the percent tissue altered (1-dimensional metric) versus percent volume altered (3-dimensional metric). Gatinel D, Saad A, Binder P. Journal of Cataract And Refract Surg, article in press (June 2018)

  Can purely axial metrics such as PTA (Percentage of Tissue Altered) predict with reasonable accuracy the ratios of tissue volumes implied in LASIK surgery? To our knowledge, the ratios between the volume of the cornea and that of the tissues involved in LASIK surgery have never been computed. This might allow clinicians to better […]

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Interview « Creative Minds », Cataract and Refractive Surgery Today, April 2018

J’ai l’honneur et le plaisir d’être considéré comme parmi les esprits créatifs (creative minds) du monde de l’ophtalmologie par le mensuel professionel Cataract and Refractive Surgery Today (CRST), esprits auquel un numéro spécial est consacré (Avril 2018). L’interview porte sur des sujets divers comme le métier de chirurgien réfractif, la recherche, les voyages et… la […]

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Cataract Grading: Assessment of a New Objective Lens Density Quantification Method Using OCT Technology Integrated Into the IOLMaster 700 and Comparison with Existing Methods. Panthier C, Burgos J, Rouger H, Saad A, Gatinel D. Journal of Cataract and Refractive Surgery, December 2017

The objective diagnosis of cataract is a major public health issue. Early cataract can be ambiguous on a slit lamp. With the Objective Scatter Index (OSI), the HD Analyzer provides an objective measurement of the crystalline lens opacity level by measuring ocular light scattering. However, in some instances, the light scatter can arise from other […]

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The crosslinking controversy

I have just published a paper about in vivo corneal collagen cross-linking (CXL), and I believe it is certain to trigger some controversy.  It is not my intention to be a heretic, but I truly believe that we should re-examine the in vivo benefits of the CXL procedure for keraoconus management. This illustration depicts the […]

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Keratoconus, what’s the rub? Cataract and Refractive Surgery Today Eu, April 2017

In this paper, Keratoconus What’s the rub, D Gatinel, CRST Europe, April 2017, I elaborate on the hypothesis that eye rubbing is the root cause of keratoconus. This is a more succinct report of some previously published material pointing toward eye rubbing as prime hit in the keratoconus affection. In my view, keratoconus is not a dystrophy […]

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Lasers in refractive surgery: non fictional science.

Often used in the form of sophisticated weapons such as guns or light sabers in many science fiction films, laser radiation is today used daily for more civilian purposes. Laser technology is now in everyone’s hands: it is enough to press the button of a laser pointer to emit this particular light. Laser radiations are nowadays […]

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Topography of the Corneal Epithelium and the Bowman layer in Low to Moderately Myopic Eyes. Salah-Mabed I, Saad A, Gatinel D. Journal of Cataract and Refractive Surgery, 2016; 42:1190–1197

This paper explores the topography of the corneal epithelium and Bowman layer, which is the most superficial layer of the corneal stroma, in normal myopic eyes. Link toward the JCRS paper (valid until October 2016) The Bowman layer is a constitutive layer of the cornea that separates the corneal epithelium from the anterior stroma. Routine […]

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Eye rubbing: a sine qua non for keratoconus? D Gatinel. Int K Kerat Ect Cor Dis, 2016;5(1):6-12

(Link to the original article here) Eye rubbing as the root cause of keratoconus? Keratoconus has been labelled a “dystrophy of unknown origin”, and I have long been fascinated by this mysterious disease. A large proportion of my clinical practice is dedicated to the diagnosis, management and prevention of keratoconus, and for many years I […]

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