September consultation #10

This 39-year-old patient has central keratoconus with more involvement in the left eye. Stability is relative in patients with keratoconus, and it is unclear whether her current complaints have been present since the initial ICL surgery 2 years prior or whether this represents progression of her corneal disease. Despite her current 20/30 UDVA, this patient is reporting blurry vision with diplopia. A rough estimate is that 1.0 D of ICL add power will correct about 0.7 D of refractive astigmatism at the corneal plane.
Source: Journal of Cataract and Refractive Surgery - Category: Opthalmology Authors: Tags: Consultation section: Refractive Source Type: research