Utility of regional epithelial thickness measurements in corneal evaluations.
CXL
LASIK
LASIK complications
OCT
PRK
Scheimpflug
VHFDU
corneal cross-linking
ectasia
epithelium thickness
keratoconus
ocular coherence tomography
refractive surgery screening
very high frequency digital ultrasound
Journal
Survey of ophthalmology
ISSN: 1879-3304
Titre abrégé: Surv Ophthalmol
Pays: United States
ID NLM: 0404551
Informations de publication
Date de publication:
Historique:
received:
13
02
2019
revised:
10
09
2019
accepted:
16
09
2019
pubmed:
29
9
2019
medline:
18
3
2021
entrez:
28
9
2019
Statut:
ppublish
Résumé
The measurement of regional corneal epithelial thickness and characterization of its behavior in response to changes in corneal architecture are increasingly drawing interest in clinical practice. The epithelium has tremendous capacity for remodeling and does so in response to underlying stromal pathology or changes in anterior corneal curvature. Various remodeling patterns have been identified that help distinguish between ectatic and nonectatic corneal conditions. Epithelial mapping has also facilitated more precise, individualized corneal surface disorder treatments. We highlight the different imaging modalities for epithelium measurement, epithelial remodeling patterns in ectatic disorders and after corneal refractive surgery, discuss utility of epithelial measurement in therapeutic refractive surgery planning, and discuss controversies that exist regarding epithelial remodeling, including its mechanisms and its relative importance in surgical planning and screening evaluations.
Identifiants
pubmed: 31560871
pii: S0039-6257(19)30256-5
doi: 10.1016/j.survophthal.2019.09.003
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
187-204Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.