Mazen M. Sinjab Knihy

This book, designed for ophthalmologists and particularly for refractive surgeons, aims to develop practical and clinical skills in readers so that they are able to make the right decisions in managing keratoconus. There are four main chapters. The first is devoted to diagnosis and describes the clinical signs, the appearances on microscopy, and the significance of corneal hysteresis and corneal topography. Classifications and patterns of keratoconus are then presented, and the author offers his own new classification of topographic patterns. The third chapter addresses the management of the disease in detail. Both non-interventional and interventional approaches are discussed with due attention to contraindications and complications. In addition, a novel classification of management parameters is suggested, and a systematic approach to management, formulated. In the final chapter this approach is applied to nine cases that serve as clinical examples.

This book provides comprehensive coverage of corneal collagen cross-linking (CXL), a major management modality for keratoconus and ectatic corneal disorders. All aspects are covered, including refractive and non-refractive surgery indications, models of application, safety, efficacy, performance, outcome measures, evidence of CXL, complications, contraindications, use in children, and controversies. The discussion reflects the considerable progress that has been made in understanding of the modality since its development in the late 1990s. Detailed attention is paid to new concepts, changing surgical techniques and indications, the latest evidence-based science and research, and the future of CXL. Guidance is also provided on the use of CXL in combination with other modalities, such as LASIK, PRK, intracorneal ring implantation and others. The text is accompanied by numerous high-quality color illustrations. Corneal Collagen Cross Linking will provide the reader with a sound grasp of the technique and its use and will hopefully also serve as a stimulus to further research and advances.