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Keratoconus Classification, ACXL Indications and Therapy Flowchart

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Management of Early Progressive Corneal Ectasia

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Abstract

Modern keratoconus (KC) therapeutic strategy should be based on its clinical stage depending on corneal apex and posterior elevation location (central <2 mm from the pupil center or peripheral >2 mm), curvatures, thickness, high-order aberrations, documented clinical (UCVA, BSCVA) and instrumental (topographic, pachymetric and/or aberrometric) progression [1]. Therapeutic approach must be also strongly connected to patient’s age according to different progression rate, faster in paediatric patients 18 years and under and among young people between 19 and 26 years [2].

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Authors and Affiliations

  1. Siena University, Ophthalmology Speciality School Siena University and Siena Crosslinking Center, Siena, Italy

    Cosimo Mazzotta

  2. Carl Gustav Carus University, Department of Ophthalmology Carl Gustav Carus University, Dresden, Germany

    Frederik Raiskup

  3. Siena University, Ophthalmology Speciality School Siena University, Siena, Italy

    Stefano Baiocchi & Claudio Traversi

  4. University of Maryland, Department of Bioengineering University of Maryland, College Park, Maryland, USA

    Giuliano Scarcelli

  5. Avedro, Waltham, Massachusetts, USA

    Marc D. Friedman

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  1. Cosimo Mazzotta
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  4. Giuliano Scarcelli
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  5. Marc D. Friedman
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  6. Claudio Traversi
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Mazzotta, C., Raiskup, F., Baiocchi, S., Scarcelli, G., Friedman, M.D., Traversi, C. (2017). Keratoconus Classification, ACXL Indications and Therapy Flowchart. In: Management of Early Progressive Corneal Ectasia. Springer, Cham. https://doi.org/10.1007/978-3-319-61137-2_7

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  • DOI: https://doi.org/10.1007/978-3-319-61137-2_7

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  • Online ISBN: 978-3-319-61137-2

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