Objective:
To present the findings and disagreements from the second Global Consensus on Keratoconus and Ectatic Diseases.
Approach:
- Consensus Formation: The consensus was formed through four structured Delphi rounds and a face-to-face meeting, involving 12 ophthalmologists from various societies.
- Key Topics Covered: The consensus addressed diagnosis, staging, cross-linking, keratoplasty, refractive surgery, and cataract surgery in keratoconic eyes.
Key Findings:
- 91.7% of the diagnostic panel agreed that Kmax has low repeatability and reproducibility for evaluating progression, yet 75% still use Kmax in daily practice.
- A new category, 'suspicious keratoconus,' was defined for close monitoring without a formal diagnosis.
- There was no consensus on the use of corneal biomechanics or genetic testing in clinical decision-making.
Interpretation:
The disagreements highlight significant limitations and uncertainties in the definitions and clinical practices surrounding keratoconus management.
Limitations:
- The consensus reflects a lack of agreement on definitions and clinical practices, which may hinder effective management.
- Insufficient longitudinal studies exist to support the use of new technologies in clinical decision-making, impacting the reliability of the consensus.
Conclusion:
The document serves as a reference for future guidance while acknowledging areas of contention that require further research.
Sources:
This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.
