Ambiguity remains in the diagnosis of keratoconus

Up to 11.6 per cent of cases for eye condition, keratoconus, may be misdiagnosed because of 'inferior steeping (IS), according to Michael Belin, Professor Ophthalmology and Vision Science, UA College of Medicine, USA, speaking at the World Opthamology Congress (WOC) 2012 held at Abu Dhabi National Exhibition Centre (ADNEC).
'Inferior steepening (IS) is very non-specific and includes a number of false positives,' he said. 'Individuals may have IS, but have normal eyes. There is much ambiguity in how we diagnose keratoconus.'
He showed a number of topography images of IS cases where there was no evidence of a decentred apex – a predominant symptom of keratoconus.
'Most studies published use the same criteria for inclusion that we accept as exclusion criteria,' he said. 'We need to improve our technology to positively diagnose the disease.'
Latest Articles
Organising for Success
Professional and personal goals drive practice ownership and operational choices.
Update on Astigmatism Analysis
Is Frugal Innovation Possible in Ophthalmology?
Improving access through financially and environmentally sustainable innovation.
iNovation Innovators Den Boosts Eye Care Pioneers
New ideas and industry, colleague, and funding contacts among the benefits.
José Güell: Trends in Cornea Treatment
Endothelial damage, cellular treatments, human tissue, and infections are key concerns on the horizon.
Making IOLs a More Personal Choice
Surgeons may prefer some IOLs for their patients, but what about for themselves?
Need to Know: Higher-Order Aberrations and Polynomials
This first instalment in a tutorial series will discuss more on the measurement and clinical implications of HOAs.
Never Go In Blind
Novel ophthalmic block simulator promises higher rates of confidence and competence in trainees.
Simulators Benefit Surgeons and Patients
Helping young surgeons build confidence and expertise.