Pediatric Keratoconus - a review of the literature

Mukhtar, Sabrina (2017) Pediatric Keratoconus - a review of the literature. Master Essay, University of Pittsburgh.

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Abstract

Public Health Relevance: Understanding pediatric keratoconus separate from adult keratoconus can help prevent negative impacts on social, behavioral and financial health of patients secondary to vision loss. Purpose: To describe the epidemiology and prevalence, rates of progression, difference between adult and pediatric populations, and therapeutic approaches to pediatric keratoconus from documented literature. Methods: A literature search was done on PubMed using key words including pediatric keratoconus, children with keratoconus, adult keratoconus, penetrating keratoplasty, corneal cross linking and intracorneal ring segments. The literature was reviewed and reported to explore the key epidemiological differences between the pediatric and adult population with regards to presentation and treatment options. Results: Pediatric keratoconus is more aggressive than adult keratoconus, which has been explained by structural differences in the cornea between both populations. High rates of progression were documented in pediatric populations. While corneal collagen cross-linking, intracorneal ring segments, and penetrating keratoplasties have been used as therapies in the pediatric population, the literature overwhelmingly shows higher rates of failure and progression despite these measures as compared to adults. Conclusion: Pediatric keratoconus is more aggressive than adult keratoconus and current therapies used in adults may not be sufficient for the pediatric population.

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Details

Item Type:	Other Thesis, Dissertation, or Long Paper (Master Essay)
Status:	Unpublished
Creators/Authors:	Creators Email Pitt Username ORCID Mukhtar, Sabrina sam365@pitt.edu SAM365
Contributors:	Contribution Contributors Name Email Pitt Username ORCID Committee Member Finegold, David dnf@pitt.edu UNSPECIFIED UNSPECIFIED Committee Member Buchanich, Jeanine jeanine@pitt.edu UNSPECIFIED UNSPECIFIED
Date:	April 2017
Date Type:	Submission
Publisher:	University of Pittsburgh
Institution:	University of Pittsburgh
Schools and Programs:	School of Public Health > Multidisciplinary MPH
Degree:	BA - Bachelor of Arts
Thesis Type:	Master Essay
Refereed:	Yes
Date Deposited:	08 Aug 2017 13:31
Last Modified:	10 Dec 2020 02:04
URI:	http://d-scholarship.pitt.edu/id/eprint/31564

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