Asymmetric Keratoconus Attributed to Eye Rubbing

@article{Jafri2004AsymmetricKA,
  title={Asymmetric Keratoconus Attributed to Eye Rubbing},
  author={Batool Jafri and Henia Lichter and R. Doyle Stulting},
  journal={Cornea},
  year={2004},
  volume={23},
  pages={560-564}
}
Purpose: To report a series of cases with asymmetric keratoconus attributed to eye rubbing, discuss its pathogenesis, and review the literature. Methods: Case reports and literature review. Results: A careful history obtained from 5 patients with asymmetric keratoconus revealed habitual eye rubbing of the more severely affected eye. Conclusions: Trauma, such as occurs with habitual eye rubbing, plays a role in the pathogenesis of keratoconus. 

Topics from this paper

Eye Rubbing and Keratoconus: A Literature Review
Keratoconus is a progressive corneal ectactic condition that can lead to visual loss. Despite being the most common cause for keratoplasty in the developed world the aetiology is unknown. It isExpand
Bilateral Keratoconus and Corneal Hydrops Associated with Eye Rubbing in a 7-year-old Girl
TLDR
Continuous mechanical trauma, such as eye rubbing, plays a significant role in the pathogenesis of keratoconus and subsequent hydrops even in childhood. Expand
Superior keratoconus with hydrops
Superior keratoconus is a rare form of keratoconus, in which the corneal apex is atypically superior. We report a 32-year-old man who presented with corneal hydrops in his right eye. OphthalmicExpand
Bilateral recurrent self-induced keratoconus.
TLDR
Findings support the concept that chronic mechanical trauma to the cornea may contribute to the development of keratoconus in patients with self-induced keratconus secondary to compulsive eye rubbing. Expand
Corneal Diseases in Children: Keratoconus
TLDR
Keratoconus is characterized by changes in corneal collagen structure and organization that cause biomechanical instability with subsequent development of irregular astigmatism, progressive myopia, corneals thinning and central corneale scarring, all of which result in mild to marked impairment in visual acuity. Expand
Chronic Ocular Inflammation and Keratoconus
Keratoconus (KC) has conventionally been held to be a non-inflammatory progressive thinning of the cornea affected by genetic and environmental factors leading to irregular astigmatism and impairmentExpand
The Youngest Patient with Bilateral Keratoconus Secondary to Chronic Persistent Eye Rubbing
TLDR
To the best of the knowledge, this is the youngest patient with bilateral keratoconus secondary to chronic persistent eye rubbing in the literature and keratconus should be kept in mind in patients with severe ocular itching, even in small children. Expand
Post Filtering Surgery Globe Massage-induced Keratoconus in an Eye with Iridocorneal Endothelial Syndrome: A Case Report and Literature Brief Review
TLDR
Chronic forceful frequent eye rubbing particularly with fingertips can be assumed to be the most important causative factor for KCN formation in this patient. Expand
The Epidemiology and Etiology of Keratoconus
TLDR
There appears to be multiple genes causing a keratoconus phenotype with variable penetration, however, the genetic predisposition might not be enough; environmental factors, such as eye rubbing, atopy and UV exposure, may have a role in generating the disease. Expand
The Evidentiary Significance of Case Reports: Eye Rubbing and Keratoconus
  • C. McMonnies
  • Psychology, Medicine
  • Optometry and vision science : official publication of the American Academy of Optometry
  • 2008
TLDR
Depending on their presentation, some types of case report can have a significant evidence-based function in assessing causal hypotheses and, accordingly, provide a higher evidentiary ranking than generally assigned to case reports. Expand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 41 REFERENCES
Keratoconus Associated with Continual Eye Rubbing due to Punctal Agenesis
TLDR
A case of unilateral keratoconus is presented, where there is a confirmed history of habitual eye rubbing and wiping of excess tears as a result of punctal agenesis in the ipsilateral eye, thereby suggesting a possible causal relationship of eye rubbing in the etiology of keratconus. Expand
Acute hydrops in the corneal ectasias: associated factors and outcomes
TLDR
Allergy and eye-rubbing appear to be important risk factors in the development of hydrops and affecting its clinical outcome, and visual results are acceptable in some patients without surgery. Expand
Keratoconus and acute hydrops in mentally retarded patients with congenital rubella syndrome.
TLDR
The keratoconus and acute corneal hydrops in these patients probably resulted from chronic traumatizing mannerisms common in other patients with mental retardation and are not specific for the congenital rubella syndrome. Expand
Keratoconus that developed in patients wearing corneal contact lenses. Report of four cases.
TLDR
Four cases of keratoconus that developed in patients wearing corneal contact lenses are reported, despite the fact that prior to wearing cornea contact lenses they showed no evidence whatsoever of this condition. Expand
On the Location of the Cone and the Etiology of Keratoconus
I suggest that the location of the cone in keratoconus is most often located in the paracentral inferonasal quadrant of the cornea due to the presence of the most senile epithelial cells in thisExpand
Keratoconus and related noninflammatory corneal thinning disorders.
TLDR
The past and present literature on corneal thinning disorders is reviewed, practical approaches to diagnosis and management are outlined and treatment ranges from simple spectacle correction to keratoplasty. Expand
CONTACT LENSES IN TREATMENT OF KERATOCONUS*
  • F. Ridley
  • Medicine
  • The British journal of ophthalmology
  • 1956
TLDR
It is proposed to present the general pictule of the disease as seen in these cases and to draw certain conclusions, before proceeding to consider in greater detail the tieatment of keratoconus using contact lenses. Expand
Causative factors in unilateral giant papillary conjunctivitis.
TLDR
While not statistically significant, infrequent lens replacement appears to be an important factor in the development of unilateral GPC. Expand
Development of keratoconus after contact lens wear. Patient characteristics.
TLDR
A retrospective review of 398 eyes of 199 patients with keratoconus revealed 106 eyes of 53 patients with an association between contact lens wear and the development of keratconus, which suggests that long-term contact lens worn is a factor that can lead to ker atoconus. Expand
Keratoconus and mitral valve prolapse.
TLDR
A borderline important association of MVP with keratoconus and with allergy exists, and patients with mitral valve prolapse complaining of poor vision should be suspected of having keratconus. Expand
...
1
2
3
4
5
...