Ectatic Conditions of the Cornea
摘要
This chapter provides a short overview on the topic of ectatic conditions of the corneaCornea. These comprise keratoconusKeratoconus, pellucid marginal degeneration (PMD) also known as keratotorus, keratoglobus, isolated keratoconus posticus, post-LASIKLASIK ectasia and post-keratoplastyKeratoplasty keratectasiaKeratectasia on the graft. Some cases of superior keratoconus or superior pellucid marginal degeneration have also been described. The diagnosisDiagnosis relies on slit lampSlit lamp examination, epithelial mapping, corneal topographyCorneal topography and tomography, wave front analysis and assessment of corneal biomechanics. TherapyTherapy should be adapted to the keratectasiaKeratectasia stage and usually begins with fitting of rigid gas-permeable contact lenses, crosslinkingCrosslinking, intracorneal ring segmentIntracorneal ring segment implantation and ends up with deep anterior lamellar or penetrating keratoplastyKeratoplasty.