The keratoconus enigma: A review with emphasis on pathogenesis.


Journal

The ocular surface
ISSN: 1937-5913
Titre abrégé: Ocul Surf
Pays: United States
ID NLM: 101156063

Informations de publication

Date de publication:
07 2020
Historique:
received: 08 11 2019
revised: 11 02 2020
accepted: 19 03 2020
pubmed: 3 4 2020
medline: 15 5 2021
entrez: 3 4 2020
Statut: ppublish

Résumé

To review the literature on the etiopathogenesis of keratoconus (KC). A literature search was conducted using PUBMED and Google Scholar for keratoconus. The authors analyzed epidemiology studies, reviews, and case reports. Atopy and ocular surface inflammation are a common features of KC and should lead to a reconsideration of the traditional definition of KC as a "non inflammatory" condition. Co-morbidities suggest that KC may be the ocular manifestation of a systemic disease. Finally, KC shows higher prevalence in certain ethnicities, which calls into question the status of KC as a rare disease, at least in these communities. We believe that future studies should test whether selected, high prevalence populations exhibit specific genetic background and/or ethno-specific environmental risk factors.

Identifiants

pubmed: 32234342
pii: S1542-0124(20)30059-8
doi: 10.1016/j.jtos.2020.03.006
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

363-373

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest We have no conflict of interests to disclose.

Auteurs

Giulio Ferrari (G)

San Raffaele Hospital, Cornea and Ocular Surface Unit, Eye Repair Lab, Italy. Electronic address: ferrari.giulio@hsr.it.

Paolo Rama (P)

San Raffaele Hospital, Cornea and Ocular Surface Unit, Eye Repair Lab, Italy.

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Classifications MeSH