After all, Doctor: Does my Child have Keratoconus or Not?

JOURNAL TITLE: Highlights of Ophthalmology

Author
1. Frederico Bicalho Dias Da Silva
ISSN
1819-2432
DOI
10.5005/hoe-10101-52503
Volume
52
Issue
5ENG
Publishing Year
2024
Pages
8
Author Affiliations
    1. Ophthalmologist and Cornea Specialist (Fellowship) from the Federal University of Minas Gerais. PhD in Ophthalmology from the Federal University of Minas Gerais. Physician in the Brazilian Air Force. Creator of Ophthalmo Consultoria Ltda, which works on the development of technologies related to the treatment of keratoconus and consultancy for doctors seeking improvement in this area. Belo Horizonte, Brazil
  • Article keywords
    Keratoconus, Diagnosis, Propodeutics Indexes

    Abstract

    Establishing the diagnosis of a disease that can impact the vision and life of a patient (such as keratoconus) is a moment of great responsibility. Therefore, ophthalmology has been looking for to integrate the results provided by the most recent high-tech equipment to try to develop a Super Index capable of determining the presence or absence of this disease with the lowest chance of error. The bad side of this strategy is the high cost of performing multiple and sophisticated exams. However, in moderate and advanced cases, the use of simple and cheap exams may be enough to diagnose keratoconus accurately. Therefore, a multimodal analysis based only on topography and pachymetry was suggested to determine if the disease exists or not, with good sensitivity and specificity. In this way, few patients (especially those with early stages of the disease) will need to be referred for a more detailed evaluation through expensive tests.

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