First presentation of keratoconus in a geriatric patient: Diagnosis and treatment of late progression

Burton, O; Tenen, A; Hodge, C

First presentation of keratoconus in a geriatric patient: Diagnosis and treatment of late progression

Burton, O Tenen, A Hodge, C

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Publisher:: Ovid Technologies (Wolters Kluwer Health)
Publication Type:: Journal Article
Citation:: JCRS Online Case Reports, 2019, 7, (4), pp. 65-70
Issue Date:: 2019-10-01

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Field	Value	Language
dc.contributor.author	Burton, O
dc.contributor.author	Tenen, A
dc.contributor.author	Hodge, C https://orcid.org/0000-0002-0516-6486
dc.date.accessioned	2020-05-19T00:36:37Z
dc.date.available	2020-05-19T00:36:37Z
dc.date.issued	2019-10-01
dc.identifier.citation	JCRS Online Case Reports, 2019, 7, (4), pp. 65-70
dc.identifier.issn	2214-1677
dc.identifier.issn	2214-1677
dc.identifier.uri	http://hdl.handle.net/10453/140801
dc.description.abstract	© 2019 This case report presents an atypical, late presentation of keratoconus in a geriatric patient with successful management using a transepithelial corneal crosslinking (CXL) procedure. The treatment-naive 77-year old patient presented to the clinic after an assessment by an optometrist for recent onset of reduced vision that was initially thought to represent early cataract development. Corneal topography confirmed keratoconus, and subsequent review identified further progression. Crosslinking was performed using a transepithelial approach. The patient was followed for 3 years postoperatively. By the final visit, the uncorrected distance visual acuity had improved and the corrected distance visual acuity remained at 20/20 bilaterally. Corneal topographic parameters were considered stable. This case shows that keratoconus can present outside the previously established parameters and that CXL might be an effective option in older patients showing signs of progression. This might have additional benefits for future intraocular lens power calculations.
dc.language	en
dc.publisher	Ovid Technologies (Wolters Kluwer Health)
dc.relation.ispartof	JCRS Online Case Reports
dc.relation.isbasedon	10.1016/j.jcro.2019.09.004
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.title	First presentation of keratoconus in a geriatric patient: Diagnosis and treatment of late progression
dc.type	Journal Article
utslib.citation.volume	7
pubs.organisational-group	/University of Technology Sydney/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
dc.date.updated	2020-05-19T00:36:32Z
pubs.issue	4
pubs.publication-status	Published
pubs.volume	7
utslib.start-page	65
utslib.citation.issue	4

Abstract:

© 2019 This case report presents an atypical, late presentation of keratoconus in a geriatric patient with successful management using a transepithelial corneal crosslinking (CXL) procedure. The treatment-naive 77-year old patient presented to the clinic after an assessment by an optometrist for recent onset of reduced vision that was initially thought to represent early cataract development. Corneal topography confirmed keratoconus, and subsequent review identified further progression. Crosslinking was performed using a transepithelial approach. The patient was followed for 3 years postoperatively. By the final visit, the uncorrected distance visual acuity had improved and the corrected distance visual acuity remained at 20/20 bilaterally. Corneal topographic parameters were considered stable. This case shows that keratoconus can present outside the previously established parameters and that CXL might be an effective option in older patients showing signs of progression. This might have additional benefits for future intraocular lens power calculations.

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http://hdl.handle.net/10453/140801