Eye Rubbing and Keratoconus: A Literature Review

  title={Eye Rubbing and Keratoconus: A Literature Review},
  author={Eliza A. Hawkes and Mayank A. Nanavaty},
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 is thought to be multifactorial, with genetic and environmental factors implicated. The association of eye rubbing and pathogenesis of keratoconus has been well documented. In this review, we collate the existing literature and summarize the current knowledge of the role of eye rubbing in the pathogenesis… Expand
Eye Rubbing and Transient Corneal Ectasia Detected by Topography in a Pediatric Patient.
A 13-year-old girl undergoing changes in the refraction of her OS associated with eye rubbing showed a corneal deformation classified as stage 1 keratoconus according to the Krumeich classification, which can be caused by eye rubbing in pediatric age. Expand
The correlation between keratoconus and eye rubbing: a review.
It is concluded that eye rubbing causes the thinning of keratocyte, and the degree of effect of eye rubbing depends on the period and force of performing eye rubbing. Expand
Corneal ectasia following cataract extraction surgery in a patient with keratoconus: a case report
This is the first report to describe corneal ectasia in a patient with keratoconus following uncomplicated phacoemulsification surgery for cataract removal, andCataract surgeons should provide extra caution to patients with ker atoconus and take into consideration this rare but potentially sight-threatening complication. Expand
Why a dedicated section on keratoconus in the European Journal of Ophthalmology?
The European Journal of Ophthalmology has dedicate a special section on keratoconus in its journal to encourage research, increase awareness and reflect the evolution of knowledge related to ker atoconus. Expand
Navigating the Controversies in the Treatment of Keratoconus
Quality of life is negatively affected at a young age, an age of learning and professional formation, and the associated astigmatism reduces visual acuity and impairs the quality of vision. Expand
Unilateral Ectasia characterized by Advanced Diagnostic Tests
To describe a case of very asymmetric ectasia successfully treated by femtosecond laser-assisted intracorneal ring segment implantation, in which the diagnosis of unilateral ectasia in the right eyeExpand
A randomized, fellow eye, comparison of keratometry, aberrometry, tear film, axial length and the anterior chamber depth after eye rubbing in non-keratoconic eyes
In healthy eyes, following eye rubbing, there is a significant change in TFBUT and central anterior K changes towards ATR astigmatism and Longer eyes had more changes in posterior K and ACD. Expand


Asymmetric Keratoconus Attributed to Eye Rubbing
Trauma, such as occurs with habitual eye rubbing, plays a role in the pathogenesis of keratoconus. Expand
Aetiology of keratoconus.
No significant psychoneurotic factor was found in the keratoconus patients compared with patients in the control group, and a classification of ker atoconus based on the dominant aetiological factors is proposed. Expand
Eye Rubbing as an Apparent Cause of Recurrent Keratoconus
A recurrence of keratoconus can occur because of itch-provoked rubbing of the eyes, and patients who had PKP should be evaluated for a history of ocular allergies. Expand
Bilateral recurrent self-induced keratoconus.
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
Keratoconus caused by eye rubbing in patients with Tourette Syndrome.
A possible association between TS and keratoconus exists with chronic eye rubbing being the suggested mechanism and eye rubbing seems to be an important causative factor for keratconus. Expand
Keratoconus Associated with Continual Eye Rubbing due to Punctal Agenesis
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
[Unilateral keratoconus associated with continual eye rubbing due to nasolacrimal obstruction--case report].
A 17-year-old woman with constant epiphora in the left eye throughout her life as a result of ipsilateral nasolacrimal obstruction is presented, suggesting a possible causal relationship between eye rubbing and keratoconus. Expand
Keratoconus and related noninflammatory corneal thinning disorders.
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
Severe Acute Corneal Hydrops in a Patient With Down Syndrome and Persistent Eye Rubbing
An 11-year-old boy with keratoconus associated with Down syndrome and vigorous eye rubbing is diagnosed with severe acute corneal hydrops, and conventional therapy can be successful in its management. Expand
The Youngest Patient with Bilateral Keratoconus Secondary to Chronic Persistent Eye Rubbing
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