Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Jul 10:13:1183-1191.
doi: 10.2147/OPTH.S183347. eCollection 2019.

Optimal management of pediatric keratoconus: challenges and solutions

Andrew Olivo-Payne  1 , Alexandra Abdala-Figuerola  2 , Erick Hernandez-Bogantes  3 , Lucero Pedro-Aguilar  4 , Elsie Chan  5 , Daniel Godefrooij  6
Affiliations

Optimal management of pediatric keratoconus: challenges and solutions

Andrew Olivo-Payne et al. Clin Ophthalmol. .

Abstract

Keratoconus (KC) shows several distinctive features in clinical appearance, disease progression, and treatment in children compared with adults. Therefore, diagnostic, clinical care, and therapeutic approaches are different. However, pediatric keratoconus is often undiagnosed and thus untreated in many cases. Once diagnosis has been made, compliance with treatment recommendations is often poor. Pediatric keratoconus also tends to have more rapid progression than in adults; therefore, early detection and treatment are paramount to prevent serious vision impairment, which can affect the child's development. This review of pediatric keratoconus discusses important issues such as worldwide epidemiology, clinical features in children compared to adults, and challenges in diagnosis and treatment and focuses on the most appropriate management strategies based on the best available current evidence.

Keywords: ICRS; cornea; corneal transplant; crosslinking; keratoconus; pediatric.

PubMed Disclaimer

Conflict of interest statement

The authors report no conflicts of interest in this work.

References

    1. Baenninger PB, Bachmann LM, Wienecke L, Thiel MA, Kaufmann C. Pediatric corneal cross-linking: comparison of visual and topographic outcomes between conventional and accelerated treatment. Am J Ophthalmol. 2017;183:11–16. doi: 10.1016/j.ajo.2017.08.015 - DOI - PubMed
    1. McAnena L, O’Keefe M. Corneal collagen crosslinking in children with keratoconus. J Aapos. 2015;19(3):228–232. doi: 10.1016/j.jaapos.2015.02.010 - DOI - PubMed
    1. Rabinowitz YS. Keratoconus. Surv Ophthalmol. 1998;42(4):297–319. - PubMed
    1. Salman AG. Transepithelial corneal collagen crosslinking for progressive keratoconus in a pediatric age group. J Cataract Refract Surg. 2013;39(8):1164–1170. doi: 10.1016/j.jcrs.2013.03.017 - DOI - PubMed
    1. Rathi VM, Mandathara PS, Vaddavalli PK, Srikanth D, Sangwan VS. Fluid filled scleral contact lens in pediatric patients: challenges and outcome. Cont Lens Anterior Eye. 2012;35(4):189–192. doi: 10.1016/j.clae.2012.03.001 - DOI - PubMed