PURPOSE Four videokeratographic methods for keratoconus detection were compared with a neural network approach. METHODS A classification neural network for keratoconus screening was designed to detect the presence of keratoconus (KC) or keratoconus suspects (KCS); a separate cone severity network graded the severity of conelike topography patterns consistent with KC or KCS. Three hundred TMS-...

PURPOSE To report results of a series of highly aberrated corneas treated with a topography-guided excimer laser ablation. METHODS Retrospective, nonrandomized, consecutive series of eyes treated with topography-guided photorefractive keratectomy (TG-PRK) with the customized topographical neutralization technique (TNT). Cases included postoperative refractive surgery decentered ablations, opt...

background: astigmatism is the leading complication in visual recovery after penetrating keratoplasty (pkp) and deep anterior lamellar keratoplasty (dalk); in this study, we evaluated the outcome of femtosecond laser arcuate keratotomy (flak) after dalk and pkp in iranian keratoconic patients. materials and methods: in this prospective interventional case series, refractive and keratometric pre...

The type of corneal injuries associated with insect encounters is related to the composition of the foreign body. However, previous reports on corneal foreign bodies as insects were rarely based on scientific evidence. Here, we report on a 49-year-old male who was stung in his left eye by an unknown insect. Emergent keratotomy was performed to remove the embedded corneal foreign body. The remov...

early half of the population of North Amercia has myopia; the prevalence of myopia in other populations ranges from 2 to 60%, as McCarty and colleagues document in this issue of the Journal (pp. 229-234). The ideal goal of refrac-tive surgery for such individuals is to eliminate the need for distance optical correction and to allow them to see as well as—or better than—they could with spectacle...

PURPOSE A growing number of diabetic patients request laser in situ keratomileusis (LASIK) for elective vision correction each year. While the United States Food and Drug Administration considers diabetes a relative contraindication to LASIK surgery, there are several reports in the literature of LASIK being performed safely in this patient population. The purpose of this review was to examine ...