|Year : 2013 | Volume
| Issue : 8 | Page : 379
Editor, Indian Journal of Ophthalmology, Chairman, Managing Director, Aditya Jyot Eye Hospital Pvt Ltd, Wadala (W), Mumbai, Maharashtra, India
|Date of Web Publication||3-Aug-2013|
Editor, Indian Journal of Ophthalmology, Chairman, Managing Director, Aditya Jyot Eye Hospital Pvt Ltd, Wadala (W), Mumbai, Maharashtra
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Natarajan S. Keratoconus. Indian J Ophthalmol 2013;61:379
Keratoconus, a egenerative disorder of the eye has been recognized as early as 1748 when German oculist Burchard Mauchart described it. 
The incidence of keratoconus is estimated to be four times higher in Asians as compared to whites, with a younger age of onset and more severe presentation. 
With advances in imaging and better understanding of cellular biology there have emerged newer modalities of treatment. Studies have also thrown light on the multiple etiologies associated with keratoconus. This issue covers the length and breadth of this topic by some of the stalwarts in the field. It dwells in depth on some of the newer diagnostic tools and innovative treatment modalities that have emerged.
The advancement in treatment modalities have been facilitated by an in-depth understanding of the pathology at a microscopic level and has enabled us to actually halt the progression and break the vicious cycle of keratoconus.
The encouraging results of procedures such as collagen cross linking and intra-corneal ring segments along with the state of the art diagnostics to detect keratoconus at the earliest, enables ophthalmologists to preserve vision in patients affected by this ectasia.
Advances in optics have facilitated the development of aids which can improve the visual acuity of these patients. Rathi et al., in "Contact lens in keratoconus" have analyzed the various lenses available for the visual improvement of these patients. In their article "Proteomic and gene expression patterns of keratoconus" Arkasubhra et al. havediscussed the fascinating signaling system that exists at the cellular level which provides newer insights into the diagnosis and management of the condition. I am excited about the unraveling of the mystery that is the human body and the complex, interlinked systems that exist at the microscopic level. That knowledge is a powerful tool in our hands both for diagnosis and treatment.
This special issue which forms a part of the Diamond Jubilee celebrations is an academic treat and a Guest Editorial by Prof. Dr. Theo Seiler is a fitting beginning of the issue. Do not miss the special IJO sessions being organized in every state conference which is aimed at encouraging every busy practitioner to write and will provide useful tips on how to write a manuscript.
| References|| |
Caroline P, Andre M, Kinoshita B, Choo J. Etiology, diagnosis, and management of Keratoconus: New thoughts and new understandings. Pacific University College of Optometry. [Last updated on 2008. p. 12-5].
Pearson AR, Soneji B, Sarvananthan N, Sandford-Smith JH. Does ethnic origin influence the incidence or severity of keratoconus? Eye (Lond) 2000;14:625-8.