CORNEAL TOPOGRAPHY OF KERATOCONUS

被引:4
作者
WILSON, SE [1 ]
LIN, DTC [1 ]
KLYCE, SD [1 ]
机构
[1] LOUISIANA STATE UNIV,MED CTR,SCH MED,CTR EYE,LIONS EYE RES LABS,2020 GRAVIER ST,SUITE B,NEW ORLEANS,LA 70112
关键词
KERATOCONUS; COMPUTER-ASSISTED TOPOGRAPHIC ANALYSIS; EPIKERATOPHAKIA; PENETRATING KEROPLASTY;
D O I
暂无
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Sixty-three eyes of 49 patients with keratoconus were studied by means of computer-assisted corneal topographic analysis. Two patients with keratoconus in one eye had no topographic evidence of keratoconus in the opposite eye. Keratoconic topographic alterations were classified into two groups. The majority of the patients (72%) had peripheral cones, with steepening extending to the limbus. In this group, the steepening was commonly restricted to one or two quadrants. In some cases, however, the changes involved nearly the entire corneal surface. The remaining group (about one quarter of the keratoconus patients) had steepening that was restricted to the central cornea. In either group, the topographic alterations in the two eyes of any single patient were characterized by a high degree of nonsuperimposable mirror-image symmetry (enantiomorphism). In the majority of patients, however, there was a large and statistically significant disparity between the two eyes in the power at the apex of the cone and the total cylinder [mean differences 8.2 +/- 6.0 D (p < 0.0001) and 4.3 +/- 2.7 D (p < 0.0001), respectively].
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页码:2 / 8
页数:7
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