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fruste Keratoconus

What to do before the discovery of a Keratoconus?

 This page provides the information needed to deal with the diagnosis of Keratoconus United or bilateral. Is often diagnosed with Keratoconus at the end of a balance generally achieved for a decline in vision. It is typically suspected before the emergence or accentuation of a myopic refractive astigmatism, oblique or reverse corneal original direction. We find [...]

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

(Link to the original article here) Eye rubbing have the root cause of keratoconus? Keratoconus has been labelled "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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Validation of year objective scoring system for shape fruste keratoconus detection and post-LASIK ectasia risk assessment in Asian Eyes. Chan C, M, Saad Ang A, D, Mejia Chua M, Lim L, Gatinel D. Cornea, 2015

This article is about the result of the evaluation of the SCORE Analyzer (topographer Orbscan) software on Asian eyes for detection of crude forms of Keratoconus (beginner infra clinical Keratoconus). SCORE Analyzer is an artificial intelligence system based on the analysis of the topography of the cornea by an algorithm designed by Drs. Gatinel and [...]

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Indices and screening tests for subclinical keratoconus.

Indices and screening tests are important to detect early keratoconus and corneal topography is certainly the reference examination that should be systematically performed as part of the preoperative assessment prior to refractive surgery. Iatrogenic corneal ectasia is the most dreaded complication after LASIK. Its most prominent risk factor is the presence of year undiagnosed condition [...]

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Saad A, Gatinel D. Retrospective testing of the Score for the detection of ectasia susceptibility: a case report of ectasia after LASIK 7 years. Int J Kerat Ect Horn say, 2013; 2 (2): 73-78

This article reports the observation of a case of ectasia post LASIK diagnosed in 2013, more than 7 years after the initial procedure performed in 2005. The ectasia related only to the left eye, and was accompanied by a loss of Visual acuity with a pronounced irregular astigmatism. The maps of topographies preoperative corneal Orbscan and OPDscan carried out in 2005, before the intervention by [...]

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Guilbert E, Saad A, Gatinel D. Unilateral Ectasia After LASIK in a Patient With Abnormal Topography purpose Normal Tomography. J Refract Surg, 2013; 29 (4): 294-296

The induced corneal ectasia is a rare complication of LASIK, whose beginning is often insidious and delayed in time. She realizes a table similar to that of a Keratoconus with recurrence of myopia and astigmatism irregular and scalable. The main risk of this complication factor is the presence of a sub clinical form of [...]

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Cabot F, Gatinel D. Refractive Surgical Problem. Journal of Cataract and Refractive Surgery, January 2013

This article describes a clinical case of refractive surgery, particularly concerning the choice of the operative indication (LASIK, PKR, surgical abstention) at the end of the pre-opeatoire balance that combines visual measures corneal topography (with measurement of the thickness of the cornea) and biomechanical exploration (Ocular Response Analyzer). The result of these investigations is discussed. In the end, [...]

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Keratoconus subclinical

Keratoconus in its infra-clinical form is defined as a minor, beginner, little or no evolutionary form of keratoconus whose diagnosis is carried out fortuitously by the realization of a corneal topography. The term "Kératocone subclinical" is a group of all early forms of keratoconus ("crude" forms, so-called "suspicious" forms). Even if it does [...]

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Keratoconus suspect

Suspicious forms of keratoconus suspicious forms of keratoconus ("Keratoconus suspect") belong to the group of corneal anomalies which are grouped under the name "Keratoconus Infra-clinical": their diagnosis is based on topography Speculative of Placido, which reveals anomalies, which without being sufficiently pronounced to cause the diagnosis of keratoconus, evoke the possibility of an intermediate form, little or [...]

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