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Risk profiles of ectasia after keratorefractive surgery.

Abstract To identify and evaluate the risk factors of iatrogenic ectasia after refractive surgery.
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Mayor MeshTerms
Journal Title current opinion in ophthalmology
Publication Year Start

PMID- 28594648
DA  - 20170608
DCOM- 20170620
LR  - 20170620
IS  - 1531-7021 (Electronic)
IS  - 1040-8738 (Linking)
VI  - 28
IP  - 4
DP  - 2017 Jul
TI  - Risk profiles of ectasia after keratorefractive surgery.
PG  - 337-342
LID - 10.1097/ICU.0000000000000383 [doi]
AB  - PURPOSE OF REVIEW: To identify and evaluate the risk factors of iatrogenic
      ectasia after refractive surgery. RECENT FINDINGS: We reviewed recently published
      papers that identified various risk factors associated with ectasia after LASIK, 
      photorefractive keratectomy, small incision lenticule extraction, and other
      refractive surgical procedures. We also attempted to evaluate the relative
      contributions of these factors to the development of ectasia following refractive
      surgery. Forme fruste keratoconus, genetic predisposition to keratoconus, low
      residual stromal bed thickness (through high myopia, thin preoperative cornea, or
      thick LASIK flap), and irregular corneal topography have been identified as risk 
      factors for keratectasia development after refractive surgical procedures. A
      newly proposed metric, percentage tissue altered, has been reported to be a
      robust indicator for post LASIK ectasia risk calculation. Several cases of
      keratectasia have also been reported 6 to 12 months following minimally invasive 
      small incision lenticule extraction procedure. Other risk factors associated with
      iatrogenic ectasia include eye rubbing, young age, and pregnancy. SUMMARY:
      Ectasia after refractive surgery is a relatively rare complication which can lead
      to sight-threatening complications if not detected and treated in time. It is
      important to continue our quest to improve our methods of identifying absolute
      and relative risk factors of ectasia and their cut-off values following various
      keratorefractive surgical procedures.
FAU - Giri, Pushpanjali
AU  - Giri P
AD  - Department of Ophthalmology and Visual Sciences, Illinois Eye and Ear Infirmary, 
      College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.
FAU - Azar, Dimitri T
AU  - Azar DT
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Curr Opin Ophthalmol
JT  - Current opinion in ophthalmology
JID - 9011108
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Age Factors
MH  - Corneal Diseases/*etiology/pathology
MH  - Corneal Topography
MH  - Dilatation, Pathologic/etiology
MH  - Female
MH  - Humans
MH  - Iatrogenic Disease
MH  - Male
MH  - Postoperative Complications/*etiology
MH  - Refractive Surgical Procedures/*adverse effects/methods
MH  - Risk Factors
MH  - Surgical Flaps
MH  - Young Adult
EDAT- 2017/06/09 06:00
MHDA- 2017/06/21 06:00
CRDT- 2017/06/09 06:00
AID - 10.1097/ICU.0000000000000383 [doi]
AID - 00055735-201707000-00008 [pii]
PST - ppublish
SO  - Curr Opin Ophthalmol. 2017 Jul;28(4):337-342. doi: 10.1097/ICU.0000000000000383.

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