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  • Title: Keratoconus. Evaluation of recent trends in the surgical and nonsurgical correction of keratoconus.
    Author: Belin MW, Fowler WC, Chambers WA.
    Journal: Ophthalmology; 1988 Mar; 95(3):335-9. PubMed ID: 3050682.
    Abstract:
    Recent focus on the optical correction for "contact lens failure" keratoconus patients has been in the use of epikeratoplasty as an alternative to penetrating keratoplasty. In a 2-year retrospective review of keratoconus patients, 33 were referred as "contact lens failures" and as such might be considered candidates for surgical intervention. Of these, 29 patients (average keratometry, 50.4; range, 43-73) were successfully refitted with contact lenses. All patients obtained wearing times of 12 hours and achieved a visual acuity of 20/40 or better, with 85% realizing 20/30 or better. The data suggest that with concerted effort most keratoconus patients may be successfully refitted despite initial contact lens failure.
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