Nonsurgical Procedures for Keratoconus Management

Objectives. To describe the past 20 years’ correction modalities for keratoconus and their visual outcomes and possible complications. Methods. A review of the published literature related to the visual outcomes and possible complications in the context of keratoconus management using nonsurgical pr...

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Main Authors: L. Rico-Del-Viejo, M. Garcia-Montero, J. L. Hernández-Verdejo, S. García-Lázaro, F. J. Gómez-Sanz, A. Lorente-Velázquez
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2017/9707650
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author L. Rico-Del-Viejo
M. Garcia-Montero
J. L. Hernández-Verdejo
S. García-Lázaro
F. J. Gómez-Sanz
A. Lorente-Velázquez
author_facet L. Rico-Del-Viejo
M. Garcia-Montero
J. L. Hernández-Verdejo
S. García-Lázaro
F. J. Gómez-Sanz
A. Lorente-Velázquez
author_sort L. Rico-Del-Viejo
collection DOAJ
description Objectives. To describe the past 20 years’ correction modalities for keratoconus and their visual outcomes and possible complications. Methods. A review of the published literature related to the visual outcomes and possible complications in the context of keratoconus management using nonsurgical procedures for the last 20 years (glasses and contact lenses) was performed. Original articles that reported the outcome of any correction modalities of keratoconus management were reviewed. Results. The most nonsurgical procedure used on keratoconus management is the contact lens fitting. Soft contact lenses and soft toric contact lenses, rigid gas-permeable contact lenses, piggyback contact lens system, hybrid contact lenses, and scleral and corneoscleral contact lenses form the contemporary range of available lens types for keratoconus management with contact lenses. All of them try to restore the vision, improve the quality of life, and delay surgical procedures in patients with this disease. Complications are derived from the intolerance of using contact lens, and the use of each depends on keratoconus severity. Conclusions. In the context of nonsurgical procedures, the use of contact lenses for the management of keratoconic patients represents a good alternative to restore vision and improve the quality of live in this population.
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spelling doaj-art-21633e665fa64aea902f0beb90bc1a232025-08-20T02:03:58ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/97076509707650Nonsurgical Procedures for Keratoconus ManagementL. Rico-Del-Viejo0M. Garcia-Montero1J. L. Hernández-Verdejo2S. García-Lázaro3F. J. Gómez-Sanz4A. Lorente-Velázquez5Department of Optics II, Faculty of Optics and Optometry, University Complutense of Madrid, Madrid, SpainDepartment of Optics II, Faculty of Optics and Optometry, University Complutense of Madrid, Madrid, SpainDepartment of Optics II, Faculty of Optics and Optometry, University Complutense of Madrid, Madrid, SpainDepartment of Optics and Optometry and Vision, Faculty of Physics, University of Valencia, Valencia, SpainDepartment of Optics II, Faculty of Optics and Optometry, University Complutense of Madrid, Madrid, SpainDepartment of Optics II, Faculty of Optics and Optometry, University Complutense of Madrid, Madrid, SpainObjectives. To describe the past 20 years’ correction modalities for keratoconus and their visual outcomes and possible complications. Methods. A review of the published literature related to the visual outcomes and possible complications in the context of keratoconus management using nonsurgical procedures for the last 20 years (glasses and contact lenses) was performed. Original articles that reported the outcome of any correction modalities of keratoconus management were reviewed. Results. The most nonsurgical procedure used on keratoconus management is the contact lens fitting. Soft contact lenses and soft toric contact lenses, rigid gas-permeable contact lenses, piggyback contact lens system, hybrid contact lenses, and scleral and corneoscleral contact lenses form the contemporary range of available lens types for keratoconus management with contact lenses. All of them try to restore the vision, improve the quality of life, and delay surgical procedures in patients with this disease. Complications are derived from the intolerance of using contact lens, and the use of each depends on keratoconus severity. Conclusions. In the context of nonsurgical procedures, the use of contact lenses for the management of keratoconic patients represents a good alternative to restore vision and improve the quality of live in this population.http://dx.doi.org/10.1155/2017/9707650
spellingShingle L. Rico-Del-Viejo
M. Garcia-Montero
J. L. Hernández-Verdejo
S. García-Lázaro
F. J. Gómez-Sanz
A. Lorente-Velázquez
Nonsurgical Procedures for Keratoconus Management
Journal of Ophthalmology
title Nonsurgical Procedures for Keratoconus Management
title_full Nonsurgical Procedures for Keratoconus Management
title_fullStr Nonsurgical Procedures for Keratoconus Management
title_full_unstemmed Nonsurgical Procedures for Keratoconus Management
title_short Nonsurgical Procedures for Keratoconus Management
title_sort nonsurgical procedures for keratoconus management
url http://dx.doi.org/10.1155/2017/9707650
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AT mgarciamontero nonsurgicalproceduresforkeratoconusmanagement
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AT sgarcialazaro nonsurgicalproceduresforkeratoconusmanagement
AT fjgomezsanz nonsurgicalproceduresforkeratoconusmanagement
AT alorentevelazquez nonsurgicalproceduresforkeratoconusmanagement