Identifying progression of subclinical keratoconus by serial topography analysis.

Abstract:

:We performed serial slit-lamp examinations and topography analysis on a patient whose initial topographic map suggested a diagnosis of keratoconus to us but which others interpreted as normal topography. Topography analysis documented cone progression during a two-year period. The initial map showed a cone apex power of 44.5 diopters located 2.1 mm inferior to the vertex normal. An oblong-shaped area of maximum power was surrounded by concentric bands of lower power. Corneal surface power ranged from 41.5 to 44.5 diopters. Two years later cone apex power increased to 51.0 diopters, and the patient developed a Fleischer's ring, Vogt's striae, and mild visual aberration. Our findings suggest the use of topography analysis systems in documenting subclinical cone progression. Topography systems may be a useful tool in the study of the true incidence and natural progression of subclinical keratoconus.

journal_name

Am J Ophthalmol

authors

Maguire LJ,Lowry JC

doi

10.1016/s0002-9394(14)76210-5

subject

Has Abstract

pub_date

1991-07-15 00:00:00

pages

41-5

issue

1

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(14)76210-5

journal_volume

112

pub_type

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