Sohil H Patel, Jason N Itri
The Role of Intuitive Cognition in Radiologic Decision Making
Journal of the American College of Radiology : JACR
describe clinical presentation risk factors treatment choices documented pediatric keratoconus population treated tertiary referral center alexandria egypt crosssectional study 80 patients keratoconus aged 18 years younger referred cornea clinic alexandria university main hospital july 2018 october 2019 included patients history initial presentation best spectacle corrected visual acuity bscva clinical signs topographic data treatment recorded thirty patients younger 14 years 50 14 years older elements initial presentation included decreased vision 26 patients itching 20 patients visual impairment itching 16 patients accidental discovery vision screening school 15 patients hydrops three patients patients bilateral keratoconus except four patients previously treated keratoplasty n 156 eyes mean logmar bscva 079 063 mean average keratometry avek maximum keratometry kmax central corneal thickness cct thinnest pachymetry reading 5116 731 5918 1038 45844 5587 44008 6018 respectively 57 eyes 36 stage 1 disease 43 eyes 28 stage 2 disease 17 eyes 11 stage 3 disease 39 eyes 25 stage 4 disease respectively statistically significant differences logmar bscva keratometry values cct thinnest pachymetry reading amslerkrumeich ak staging existed two age groups boys girls crosslinking indicated 69 eyes 44 keratoplasty viable solution 39 eyes 25 three patients requiring keratoplasty eyes keratoconus children result severe loss vision keratoconus screening programs elementary schools considered populations high incidence keratoconus early detection adequate intervention