Keratoconus – Case Samples

KERATOCONUS

CASE
SAMPLES

CASE AB

PATIENT AB: 28 YO HM

Autorefractor OD:  -6.00 -6.00 x 034

Autorefractor OS:  -0.25 -1.25 x 173

SRX OD:  -1.50  -4.25 x 035  20/60    K:  48.25/52.25  Pach:  465 microns  HVID:  11.50 mm

SRX OS:  -0.25 -1.00 x 175   20/20     K:  42.50/44.85  Pach:  524 microns  HVID:  11.50 mm

Positive:  Munson

Negative for Hydrops, Scars, Vogt’s Striae, Fleisher Ring

Case AB
Keratoconus Topography and Pachymetry Example AB

Treatment Modality: Scleral Lens Design (OD Only)

BCVA cc Scleral Lens:  20/30  (3 Line Improvement from Spectacles)

Case AB Data Central OD
Case AB Data OD
Case AB

CASE CE

PATIENT CE: 28 YO HF

Autorefractor OD:   Unable on Autorefractor

Autorefractor OS:   Unable on Autorefractor

SRX:  OD -0.75 -3.00 x 090  20/100   K:  58.00/70.00  Pach:  365 microns  HVID: 11.50 mm

SRX:  OS  -0.50 -3.00 x 135  20/200   K: 68.50/74.00  Pach:  247  microns  HVID:  11.50 mm

(Legal Blindness Definition BCVA OS with Spectacles)

Positive:  Munson sign, Central Corneal Scar, Vogt’s Striae Tissue OU

Negative for Hydrops and Fleisher Ring OU

CE Case AP OD OS
Case CE Top and Pachy Samples

Treatment Modality: RGP Keratoconus Cone Design

BCVA cc Scleral Lens  OD:  20/20  (8 Line Improvement from BCVA Spectacles)

Case CE Data Central OD
Case CE Data OD

BCVA cc Scleral Lens  OS:  20/25  (8 Line Improvement from BVCA Spectacles)

Case CE Data Central OS
Case CE Data OS

CASE CL

PATIENT CL: 25 YO HM

Autorefractor OD:   -2.50 -1.75 x 008

Autorefractor OS:  -7.75 -3.75 x 154

SRX: OD +2.75 -2.00 x 093  20/40   K:  46.00/48.00   Pach:  433    HVID:  12.0  mm

SRX: OS  +1.00 -2.25 x 075 20/70    K:  49.00/60.50   Pach: 424     HVID: 12.0 mm

Positive: Fleisher ring OU.  Vogt’s Striae OS.  Munson Sign OU

Negative:  Hydrops, Scars, Vogt’s Striae OD

History of Corneal Cross Linking

Keratoconus Topography and Pachymetry Example CL

Treatment Modality: Kerasoft IC (Irregular Cornea) Custom Soft Contact Lens Design

BCVA cc Kerotoconus Custom Soft OD:  20/25  (2 Line Improvement from BCVA Spectacles)

BCVA cc Keratoconus Custom Soft  OS:  20/30  (4 Line Improvement from BVCA Spectacles)

CASE DN

PATIENT DN: 25 YO HF

Autorefractor OD:   Unable on Autorefractor

Autorefractor OS:   Unable on Autorefractor

SRX:  OD -0.75 -3.00 x 090  20/100   K:  58.00/70.00  Pach:  365 microns  HVID: 11.50 mm

SRX:  OS  -0.50 -3.00 x 135  20/200   K: 68.50/74.00  Pach:  247  microns  HVID:  11.50 mm

(Legal Blindness Definition BCVA OS with Spectacles)

Positive:  Munson sign, Central Corneal Scar, Vogt’s Striae Tissue OU

Negative for Hydrops and Fleisher Ring OU

Case DN Eyes Scleral
Case CE Top and Pachy Samples

Treatment Modality: RGP Keratoconus Cone Design

BCVA cc Scleral Lens  OD:  20/20  (5 Line Improvement from BCVA Spectacles)

Case DN Data Central OD
Case DN Data OD
Case DN Scleral OD

BCVA cc Scleral Lens OS:  20/25  (5 Line Improvement from BVCA Spectacles)

Case DN Data Central OS
Case DN Data OS
Case DN Scleral OS

CASE EP

PATIENT EP: 41 YO HF

Autorefractor OD:  -12.00 -1.25 x 052

Autorefractor OS:  -14.25 -2.50 x 146

SRX:  OD  -15.00 -1.25 x 035  20/30     K:  46.75/48.25   Pach:  403 Microns  HVID:  12.00 mm

SRX:  OS  -15.75 -2.00 x 150  20/100    K:  49.25/52.00   Pach: 379 Microns  HVID:  12.00 mm

Positive:  Munson OU

Negative for Hydrops, Scars, Vogt’s Striae, Fleisher Ring

Keratoconus Topography and Pachymetry Example CL

Treatment Modality: RGP Keratoconus Cone Design

BCVA cc RGP Cone OD:  20/20  (2 Line Improvement from BCVA Spectacles)

 

EP Case Cobalt Wratten OD

BCVA cc RGP Cone OS:  20/25  (7 Line Improvement from BCVA Spectacles)

 

EP Case Cobalt Wratten OS

CASE IL

PATIENT IL: 28 YO HM

Autorefractor OD:  Unable by Autorefractor

Autorefractor OS:  Unable by Autorefractor

SRX:  OD  Plano -3.25 x 005  20/40     K:  42.00/54.50   Pach:  469 Microns  HVID:  11.50 mm

SRX:  OS  Plano -3.50 x 015  20/40      K:  42.75/54.25   Pach: 460 Microns  HVID:  11.50 mm

Positive:  Munson OU.

Negative for Hydrops, Scars, Vogt’s Striae, Fleisher Ring

Case IL Eyes Scleral
Case IL Top and Pachy Samples

RGP Keratoconus Cone Design

*Inadequate Fit with RGP Cone Design* (Instability Secondary to Approx 12.0 D Corneal Cylinder)

BCVA cc RGP Cone OD:  20/25  (2 Line Improvement from BCVA Spectacles)

BCVA cc RGP Cone OS:  20/25  (2 Line Improvement from BCVA Spectacles)

IL Case Kone Design OD OS

Bitoric RGP Design (Secondary to Approx 12.0 D of Corneal Cylinder

BCVA cc RGP Cone OD:  20/25  (2 Line Improvement from BCVA Spectacles)

IL Case Bitoric Cobalt Wratten OD

BCVA cc RGP Cone OS:  20/25  (2 Line Improvement from BCVA Spectacles)

IL Case Bitoric Cobalt Wratten OS

New Lens Ordered to Flatten the Vertical Meridian….. To Be Continued with modified Bitoric RGP Design.   Scleral Lens is the next Option.

 

CASE NG

PATIENT NG: 51 YO HF

Autorefractor OD:  -2.75 -6.75 x 052

Autorefractor OS:  -3.00 -5.25 x 114

SRX:  OD  plano -5.25 x 073  20/40  +2.00 add    K:  46.00/52.25  Pach:  439 Microns  HVID:  11.25 mm

SRX:  OS  -1.75 -3.25 x 095   20/30   +2.00 add    K:  45.50/49.75  Pach:  469 Microns  HVID:  11.25 mm

Positive:  Munson OU

Negative for Hydrops, Scars, Vogt’s Striae, Fleisher Ring

Keratoconus Topography and Pachymetry Example NG

Treatment Modality: RGP Keratoconus Cone Design

BCVA cc RGP Cone OD:  20/25  (2 Line Improvement)

BCVA cc RGP Cone OS:  20/30  (Same BCVA as Spectacles)