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163063

ADVANCED KERATOCONUS WITH LOW REFRACTIVE ERROR

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Last updated: 23 Jan 2023

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Abstract

In this report we are presenting a 28-year-old female with right keratoconus grade3 and left
keratoconus grade 2 with low degree refraction (spherical equivalent in right eye = -2.25 and
+0.75D in left eye). Axial length measurement revealed short axial length (RE=19.63mm,
LE=19.97 mm). After counseling the patient, the decision was to go for right simultaneous
femtosecond intracorneal ring segments implantation with corneal collagen cross linking. UCVA,
BCVA, sphere, cylinder, spherical equivalent, RMS total high order aberrations(HOA), RMS coma,
and RMS astigmatism were measured pre- and postoperatively in the first week, 1 month, 3 month, 6
month. The results were favorable as regards improvement in UCVA, BCVA, with mild hyperopic shift
in the sphere as expected with decrease in the cylinder, and induced flattening. As for HOA, coma
and astigmatism; there was marked decrease.

DOI

10.21608/ejco.2018.163063

Keywords

Keratoconus, low refractive error, Hyperopia, Short axial length globe, Intracorneal ring segments, High order corneal aberrations

Authors

First Name

Mounir,

Last Name

A.

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Affiliation

Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

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First Name

Mostafa,

Last Name

E.

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Affiliation

Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

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Volume

1

Article Issue

1

Related Issue

23736

Issue Date

2018-06-01

Receive Date

2018-01-05

Publish Date

2018-06-01

Page Start

13

Page End

17

Print ISSN

2537-0502

Online ISSN

2537-0944

Article File

EJCO_Volume 1_Issue 1_Pages 13-17.pdf

PDF . 600.3kB

Link

https://ejco.journals.ekb.eg/article_163063.html

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https://ejco.journals.ekb.eg/service?article_code=163063

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Case reports: all new cases, rare cases, interesting cases can be reported.

Type Code

1,826

Publication Type

Journal

Publication Title

Egyptian Journal of Clinical Ophthalmology

Publication Link

https://ejco.journals.ekb.eg/

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Article

Created At

23 Jan 2023