June consultation #5
It is interesting to investigate the reason that triggered this patient's ectasia. If the patient has scratched the eyes (allergy), he should be oriented and treated. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 28, 2019 Category: Opthalmology Authors: Frederico Bicalho Tags: Consultation section: Refractive Source Type: research

June consultation #6
CXL and ICRS are both reasonable initial options for this patient. However, the patient has already failed to improve with both treatments and, although a second CXL procedure is possible, there is no evidence that repeated CXL treatments are beneficial and in this particular scenario, it would not address the patient's visual acuity concerns. In certain circumstances topography-guided treatments after CXL can be advantageous to regularize a stable ectatic cornea, but this is only a reasonable option once the patient has shown stability, which is not the case for this patient. (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 28, 2019 Category: Opthalmology Authors: Claudia Perez Straziota Tags: Consultation section: Refractive Source Type: research

Editor's comment
This is an ectasia case with a high percentage of tissue altered, a thick flap thickness, and a low residual bed, and despite having had CXL, this patient's ectasia continued to progress.1 Most of the respondents considered that reasonable options for this patient would include regularization of the cornea through either a topography-guided PRK within the LASIK flap thickness, a DALK, or implantation of ICRS.2 (Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 28, 2019 Category: Opthalmology Authors: Marcony R. Santhiago Tags: Consultation section: Refractive Source Type: research

Editorial Board
(Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 28, 2019 Category: Opthalmology Source Type: research

Masthead
(Source: Journal of Cataract and Refractive Surgery)
Source: Journal of Cataract and Refractive Surgery - May 28, 2019 Category: Opthalmology Source Type: research