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Biomechanics in Keratoconus Diagnosis

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CURRENT EYE RESEARCH
卷 48, 期 2, 页码 130-136

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TAYLOR & FRANCIS INC
DOI: 10.1080/02713683.2022.2041042

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Keratoconus; corneal ectasia; multimodal corneal imaging; corneal biomechanics; ocular biomechanics

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Biomechanical assessment plays a crucial role in the screening, diagnosis, and treatment of ectatic corneal diseases, and various devices can provide biomechanical measurements and data integration.
Purpose: To prospectively review the importance of biomechanical assessment in the screening, diagnosis, prognosis, individualized planning, and clinical follow-up for ectatic corneal diseases. Methods: We demonstrate two commercially available devices to assess the corneal biomechanics in vivo, the Ocular Response Analyzer (ORA, Reichester, NY, USA) and the Corvis ST (Oculus, Wetzlar, Germany). Novel devices have been demonstrated to provide in vivo biomechanical measurements, including Brillouin optical microscopy and OCT elastography. Conclusion: The integration of biomechanical data and other data from multimodal refractive imaging using artificial intelligence demonstrated the ability to enhance accuracy in diagnosing ectatic corneal diseases.

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