Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive blurring of vision, frequent changes in spectacle prescription, and complaints of glare or halos, particularly at night. History of eye rubbing noted. Symptoms are consistent with corneal ectasia.
Clinical Examination Findings
Slit-lamp examination reveals central or paracentral corneal thinning, apical protrusion, and Fleischer ring. Vogtโs striae present in deep stroma. Munsonโs sign positive on downgaze. Corneal topography confirms steepening and asymmetric astigmatism.
Treatment Protocol
Management plan includes: 1. Corneal Cross-Linking (CXL) to halt progression. 2. Rigid Gas Permeable (RGP) or scleral contact lens fitting for visual rehabilitation. 3. Intrastromal Corneal Ring Segments (ICRS) if indicated. 4. Referral for keratoplasty in advanced cases.