Abstract
Purpose: To summarize the current status of refractive surgery in keratoconus.
Summary: Keratoconus is an ectatic corneal disease characterized by a progressive corneal thinning and irregular astigmatism that negatively impact in the visual function and the optical quality of the patients. The refractive surgery in keratoconus has been discussed by several authors. The two primary lines of action are phakic lens implantation and corneal tissue ablation using photorefractive keratectomy.
Conclusions: The refractive surgery can be, in stable keratoconus cases, a safe and effective option. In progressive cases, there is the possibility of combining different treatments to improve visual quality and stop the progression of the disease.
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Compliance with Ethical Requirements
Pablo Sanz Díez, Alfredo Vega Estrada, and Jorge L. Alió declare that they have no conflict of interest. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study. No animal studies were carried out by the authors for this article.
This study has been supported in part by a grant from European Regional Development Fund (Fondo europeo de desarrollo regional FEDER) and the Spanish Ministry of Economy and Competitiviness, Instituto Carlos III, Red Temática de Investigación Cooperativa en Salud (RETICS) “Prevención, detección precoz y tratamiento de la patología ocular prevalente, degenerativa y crónica”. Subprograma “dioptrio ocular y patologías frecuentes” (RD12/0034/0007).
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Sanz Díez, P., Vega Estrada, A., Alió, J.L. (2017). Refractive Surgery in Keratoconus. In: Alió, J. (eds) Keratoconus. Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-319-43881-8_25
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DOI: https://doi.org/10.1007/978-3-319-43881-8_25
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