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    Keratoconus: Thinking outside the cone

    Cases highlight various scenarios ranging from highly complex to simple


    Figure 6. This 20-year-old male was referred to me with a post-Pseudomonas dense central corneal scar with 20/100 best-corrected visual acuity. I planned for paired Intacs placement to stabilize the cornea, make it measurable, stretch the central scar, and convert the irregular astigmatism to regular astigmatism of a much lower degree, i.e., from 7.1 to 2.2 D. (In case this approach failed, I would use the Intacs channel as my starting plane for lamellar keratoplasty.)

    Figure 7

    Arun C. Gulani, MD
    Dr. Gulani is director of refractive surgery and chief, cornea & external disease, as well as assistant professor, department of ...

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