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  • 18corneal Ectasias

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    Mounika Papireddy
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    This document summarizes three corneal ectasias - keratoconus, keratoglobus, and pellucid marginal degeneration. It describes the morphological classifications and signs of keratoconus, noting it is usually bilateral but asymmetrical. It also lists some systemic associations. Keratoglobus is described as a bilateral protrusion and thinning of the entire cornea often present at birth. Pellucid marginal degeneration involves bilateral inferior corneal thinning typically onset between 20-40 years.

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    18Corneal Ectasias

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    This document summarizes three corneal ectasias - keratoconus, keratoglobus, and pellucid marginal degeneration. It describes the morphological classifications and signs of keratoconus, noting it is usually bilateral but asymmetrical. It also lists some systemic associations. Keratoglobus is described as a bilateral protrusion and thinning of the entire cornea often present at birth. Pellucid marginal degeneration involves bilateral inferior corneal thinning typically onset between 20-40 years.

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    2 views6 pages

    18corneal Ectasias

    Uploaded by

    Mounika Papireddy
    This document summarizes three corneal ectasias - keratoconus, keratoglobus, and pellucid marginal degeneration. It describes the morphological classifications and signs of keratoconus, noting it is usually bilateral but asymmetrical. It also lists some systemic associations. Keratoglobus is described as a bilateral protrusion and thinning of the entire cornea often present at birth. Pellucid marginal degeneration involves bilateral inferior corneal thinning typically onset between 20-40 years.

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    of 6

    CORNEAL ECTASIAS

    1. Keratoconus

    2. Keratoglobus

    3. Pellucid marginal degeneration


    Morphological classification of keratoconus

    Nipple cone Oval cone Globus cone

    Small and steep curvature Larger and ellipsoidal Largest


    Signs of keratoconus
    Bilateral in 85% but asymmetrical

    Oil droplet reflex Vogt striae Prominent corneal nerves

    Bulging of lower lids


    on downgaze

    Fleischer ring & scarring Munson sign Acute hydrops


    Systemic associations of keratoconus

    Atopic dermatitis Down syndrome Ehlers-Danlos


    syndrome

    Marfan syndrome Crouzon syndrome Osteogenesis imperfecta


    Keratoglobus

    • Onset usually at birth


    • Bilateral protrusion and thinning of entire cornea

    • Associations - Leber congenital amaurosis and blue sclera


    Pellucid marginal degeneration

    • Onset between 20 and 40 years


    • Bilateral crescent-shaped inferior corneal thinning

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