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      Applications of corneal topography and tomography: a review : Corneal topography and tomography

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          Abstract

          <p class="first" id="d7566662e111">Corneal imaging is essential for diagnosing and management of a wide variety of ocular diseases. Corneal topography is used to characterize the shape of the cornea, specifically, the anterior surface of the cornea. Most corneal topographical systems are based on Placido disc that analyse rings that are reflected off the corneal surface. The posterior corneal surface cannot be characterized using Placido disc technology. Imaging of the posterior corneal surface is useful for diagnosis of corneal ectasia. Unlike corneal topographers, tomographers generate a three-dimensional recreation of the anterior segment and provide information about the corneal thickness. Scheimpflug imaging is one of the most commonly used techniques for corneal tomography. The cross-sectional images generated by a rotating Scheimpflug camera are used to locate the anterior and posterior corneal surfaces. The clinical uses of corneal topography include, diagnosis of corneal ectasia, assessment of corneal astigmatism, and refractive surgery planning. This review will discuss the applications of corneal topography and tomography in clinical practice. </p>

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          STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT

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            Global consensus on keratoconus and ectatic diseases.

            Despite extensive knowledge regarding the diagnosis and management of keratoconus and ectatic corneal diseases, many controversies still exist. For that reason, there is a need for current guidelines for the diagnosis and management of these conditions. This project aimed to reach consensus of ophthalmology experts from around the world regarding keratoconus and ectatic diseases, focusing on their definition, concepts, clinical management, and surgical treatments. The Delphi method was followed with 3 questionnaire rounds and was complemented with a face-to-face meeting. Thirty-six panelists were involved and allocated to 1 of 3 panels: definition/diagnosis, nonsurgical management, or surgical treatment. The level of agreement considered for consensus was two thirds. Numerous agreements were generated in definitions, methods of diagnosing, and management of keratoconus and other ectatic diseases. Nonsurgical and surgical treatments for these conditions, including the use of corneal cross-linking and corneal transplantations, were presented in a stepwise approach. A flowchart describing a logical management sequence for keratoconus was created. This project resulted in definitions, statements, and recommendations for the diagnosis and management of keratoconus and other ectatic diseases. It also provides an insight into the current worldwide treatment of these conditions.
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              Riboflavin/ultraviolet-a–induced collagen crosslinking for the treatment of keratoconus

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                Author and article information

                Contributors
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                Journal
                Clinical & Experimental Ophthalmology
                Clin. Experiment. Ophthalmol.
                Wiley
                14426404
                March 2018
                March 2018
                January 11 2018
                : 46
                : 2
                : 133-146
                Affiliations
                [1 ]Faculty of Medicine; The University of Hong Kong; Hong Kong
                [2 ]Department of Ophthalmology & Visual Sciences; The Chinese University of Hong Kong; Hong Kong
                [3 ]NMC Eye Care; NMC Specialty Hospital; Abu Dhabi United Arab Emirates
                [4 ]Department of Ophthalmology; University of Pittsburgh School of Medicine; Pittsburgh Pennsylvania USA
                [5 ]Centre for Eye Research Australia; University of Melbourne; Melbourne Victoria Australia
                Article
                10.1111/ceo.13136
                29266624
                4ef9664f-246a-4189-85b6-67a6b43e7859
                © 2018

                http://doi.wiley.com/10.1002/tdm_license_1.1

                http://onlinelibrary.wiley.com/termsAndConditions#vor

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