Bringing keratoconus into focus

Controversies in the Management of Keratoconus, edited by Adel Barbara. Published by Springer

Leigh Spielberg

Posted: Saturday, June 1, 2019

The treatment of keratoconus is changing. With the refinement of imaging modalities and the development of new and improved treatment modalities, the possibilities for disagreement among experts has increased.

This is apparent in Controversies in the Management of Keratoconus. The text seems to cover everything: monitoring progression, cross-linking (epi-on and epi-off, accelerated, the role of oxygen, biomechanics, moving beyond the Dresden Protocol; paediatric, combination with PRK); the Athens Protocol, intrastromal ring segments, phakic and toric IOLs. It discusses why one might perform a full-thickness penetrating keratoplasty rather than a DALK, the possibility of Bowman layer transplantation in advanced disease and, if surgery is not an option, how to manage with scleral contact lenses.

To bring it all into focus, the book closes with a chapter on how to navigate among all these controversies, written by the editor.