Pediatric keratoconus: a review of the literature.

Abstract:

PURPOSE:To describe the epidemiology and prevalence, rates of progression, difference between adult and pediatric populations, and therapeutic approaches to pediatric keratoconus from documented literature. METHODS:A literature search was done on PubMed using key words including pediatric keratoconus, children with keratoconus, adult keratoconus, penetrating keratoplasty, corneal cross-linking and intracorneal ring segments. The literature was reviewed and reported to explore the key epidemiological differences between the pediatric and adult population with regards to presentation and treatment options. RESULTS:Pediatric keratoconus is more aggressive than adult keratoconus, which has been explained by structural differences in the cornea between both populations. High rates of progression were documented in pediatric populations. While corneal collagen cross-linking, intracorneal ring segments and penetrating keratoplasties have been used as therapies in the pediatric population, the literature overwhelmingly shows higher rates of failure and progression despite these measures as compared to adults. CONCLUSION:Pediatric keratoconus is more aggressive than adult keratoconus, and current therapies used in adults may not be sufficient for the pediatric population.

journal_name

Int Ophthalmol

authors

Mukhtar S,Ambati BK

doi

10.1007/s10792-017-0699-8

subject

Has Abstract

pub_date

2018-10-01 00:00:00

pages

2257-2266

issue

5

eissn

0165-5701

issn

1573-2630

pii

10.1007/s10792-017-0699-8

journal_volume

38

pub_type

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