title: Management of advanced corneal ectasias.
abstract: Corneal ectasias include a group of disorders characterised by progressive thinning, bulging and distortion of the cornea. Keratoconus is the most common disease in this group. Other manifestations include pellucid marginal degeneration, Terrien's marginal degeneration, keratoglobus and ectasias following surgery. Advanced ectasias usually present with loss of vision due to high irregular astigmatism. Management of these disorders is difficult due to the peripheral location of ectasia and associated severe corneal thinning. Newer contact lenses such as scleral lenses are helpful in a selected group of patients. A majority of these cases requires surgical intervention. This review provides an update on the current treatment modalities available for management of advanced corneal ectasias.
authors: Department of Ophthalmology, All India Institute of Medical Sciences, Bhopal, India.
authors: Prafulla K
authors: PK
authors: Maharana
authors: Department of Ophthalmology, All India Institute of Medical Sciences, Bhopal, India.
authors: Aditi
authors: A
authors: Dubey
authors: Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong.
authors: Vishal
authors: V
authors: Jhanji
authors: Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
authors: Namrata
authors: N
authors: Sharma
authors: L.V.Prasad Eye Institute, Bhubaneswar, India.
authors: Sujata
authors: S
authors: Das
authors: Vision Eye Institute, Royal Victorian Eye and Ear Hospital, North West Academic Centre, University of Melbourne, Melbourne, Australia.
authors: Rasik B
authors: RB
authors: Vajpayee
mesh_terms: D003261:Contact Lenses; D003315:Cornea / Q000473:pathology / Q000601:surgery*; D019781:Corneal Topography; D004108:Dilatation, Pathologic / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007640:Keratoconus / Q000175:diagnosis / Q000601:surgery*; D015948:Keratoplasty, Penetrating; D041623:Tomography, Optical Coherence
keywords: Cornea; Treatment Surgery; Treatment other