Ferrara ring and the nomogram as the main strategy for correcting keratoconus: a systematic review of clinical findings

Detalhes bibliográficos
Autor(a) principal: Moura, Malú Inês Perez
Data de Publicação: 2023
Outros Autores: Daher, Isabelle Dalloul, Ferrari, Rafaella Scalabrini, Murad, Ana Cristyna Saad, Neiva, Eneidia Batista, Souza, Pablo Nori de, Dourado, Raul Pereira Galvão, Todesco, Ana Laura Martins, Liedtke, Fernanda Soubhia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: MedNEXT Journal of Medical and Health Sciences
Texto Completo: https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/264
Resumo: Introduction: In the setting of corneal ectasias, keratoconus (KC) is a bilateral and asymmetrical disease that results in progressive thinning and tilting of the cornea, leading to irregular astigmatism and decreased visual acuity. The condition affects all ethnicities and both sexes. KC prevalence and incidence rates are close to between 0.2 and 4790 per 100,000 people and 1.5 and 25 cases per 100,000 person-years, respectively. For surgeons who implant Ferrara rings, the manufacturer has developed an online nomogram aimed at optimizing patient outcomes. Objective: The present study carried out a systematic review to present the main clinical outcomes of keratoconus treatment using the Ferrara ring. Methods: The systematic review rules of the PRISMA Platform were followed. The literature search was carried out from January to February 2023 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. Scientific articles from the last 15 years were selected. The quality of the studies was based on the GRADE instrument. The risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 60 articles were found, of which only 21 were part of this systematic review, after an eligibility analysis.It was concluded that the insertion of Ferrara rings in keratoconic eyes with previous cross-linking history using the company's nomogram results in significant improvements in visual, refractive, and tomographic results. Corneal densitometry in the anterior layer of the cornea decreases after the implantation of intrastromal corneal ring segments and correlates with corneal keratometry. Over 5 years, Ferrara-type intrastromal corneal ring segment implantation is a safe, effective, and stable procedure for restoring vision in pediatric patients with keratoconus old.
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spelling Ferrara ring and the nomogram as the main strategy for correcting keratoconus: a systematic review of clinical findingsCorneal ectasiaKeratoconusIntrastromal ringClinical studiesIntroduction: In the setting of corneal ectasias, keratoconus (KC) is a bilateral and asymmetrical disease that results in progressive thinning and tilting of the cornea, leading to irregular astigmatism and decreased visual acuity. The condition affects all ethnicities and both sexes. KC prevalence and incidence rates are close to between 0.2 and 4790 per 100,000 people and 1.5 and 25 cases per 100,000 person-years, respectively. For surgeons who implant Ferrara rings, the manufacturer has developed an online nomogram aimed at optimizing patient outcomes. Objective: The present study carried out a systematic review to present the main clinical outcomes of keratoconus treatment using the Ferrara ring. Methods: The systematic review rules of the PRISMA Platform were followed. The literature search was carried out from January to February 2023 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. Scientific articles from the last 15 years were selected. The quality of the studies was based on the GRADE instrument. The risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 60 articles were found, of which only 21 were part of this systematic review, after an eligibility analysis.It was concluded that the insertion of Ferrara rings in keratoconic eyes with previous cross-linking history using the company's nomogram results in significant improvements in visual, refractive, and tomographic results. Corneal densitometry in the anterior layer of the cornea decreases after the implantation of intrastromal corneal ring segments and correlates with corneal keratometry. Over 5 years, Ferrara-type intrastromal corneal ring segment implantation is a safe, effective, and stable procedure for restoring vision in pediatric patients with keratoconus old.Faceres2023-03-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/otherapplication/pdfhttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/26410.54448/mdnt23103MedNEXT Journal of Medical and Health Sciences; Vol. 4 No. 1 (2023): MedNEXT - February 2023MedNEXT Journal of Medical and Health Sciences; v. 4 n. 1 (2023): MedNEXT - February 20232763-567810.54448/mdnt231reponame:MedNEXT Journal of Medical and Health Sciencesinstname:Faculdade de Medicina em São José do Rio Preto (Faceres)instacron:FACERESenghttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/264/245Copyright (c) 2023 Malú Inês Perez Moura, Isabelle Dalloul Daher, Rafaella Scalabrini Ferrari, Ana Cristyna Saad Murad, Eneidia Batista Neiva, Pablo Nori de Souza, Raul Pereira Galvão Dourado, Ana Laura Martins Todesco, Fernanda Soubhia Liedtkehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMoura, Malú Inês PerezDaher, Isabelle DalloulFerrari, Rafaella ScalabriniMurad, Ana Cristyna SaadNeiva, Eneidia BatistaSouza, Pablo Nori deDourado, Raul Pereira GalvãoTodesco, Ana Laura MartinsLiedtke, Fernanda Soubhia2023-03-02T22:51:17Zoai:ojs2.mednext.zotarellifilhoscientificworks.com:article/264Revistahttps://mednext.zotarellifilhoscientificworks.com/index.php/mednextPUBhttps://mednext.zotarellifilhoscientificworks.com/index.php/mednext/oaimednextjmhs@zotarellifilhoscientificworks.com2763-56782763-5678opendoar:2023-03-02T22:51:17MedNEXT Journal of Medical and Health Sciences - Faculdade de Medicina em São José do Rio Preto (Faceres)false
dc.title.none.fl_str_mv Ferrara ring and the nomogram as the main strategy for correcting keratoconus: a systematic review of clinical findings
title Ferrara ring and the nomogram as the main strategy for correcting keratoconus: a systematic review of clinical findings
spellingShingle Ferrara ring and the nomogram as the main strategy for correcting keratoconus: a systematic review of clinical findings
Moura, Malú Inês Perez
Corneal ectasia
Keratoconus
Intrastromal ring
Clinical studies
title_short Ferrara ring and the nomogram as the main strategy for correcting keratoconus: a systematic review of clinical findings
title_full Ferrara ring and the nomogram as the main strategy for correcting keratoconus: a systematic review of clinical findings
title_fullStr Ferrara ring and the nomogram as the main strategy for correcting keratoconus: a systematic review of clinical findings
title_full_unstemmed Ferrara ring and the nomogram as the main strategy for correcting keratoconus: a systematic review of clinical findings
title_sort Ferrara ring and the nomogram as the main strategy for correcting keratoconus: a systematic review of clinical findings
author Moura, Malú Inês Perez
author_facet Moura, Malú Inês Perez
Daher, Isabelle Dalloul
Ferrari, Rafaella Scalabrini
Murad, Ana Cristyna Saad
Neiva, Eneidia Batista
Souza, Pablo Nori de
Dourado, Raul Pereira Galvão
Todesco, Ana Laura Martins
Liedtke, Fernanda Soubhia
author_role author
author2 Daher, Isabelle Dalloul
Ferrari, Rafaella Scalabrini
Murad, Ana Cristyna Saad
Neiva, Eneidia Batista
Souza, Pablo Nori de
Dourado, Raul Pereira Galvão
Todesco, Ana Laura Martins
Liedtke, Fernanda Soubhia
author2_role author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Moura, Malú Inês Perez
Daher, Isabelle Dalloul
Ferrari, Rafaella Scalabrini
Murad, Ana Cristyna Saad
Neiva, Eneidia Batista
Souza, Pablo Nori de
Dourado, Raul Pereira Galvão
Todesco, Ana Laura Martins
Liedtke, Fernanda Soubhia
dc.subject.por.fl_str_mv Corneal ectasia
Keratoconus
Intrastromal ring
Clinical studies
topic Corneal ectasia
Keratoconus
Intrastromal ring
Clinical studies
description Introduction: In the setting of corneal ectasias, keratoconus (KC) is a bilateral and asymmetrical disease that results in progressive thinning and tilting of the cornea, leading to irregular astigmatism and decreased visual acuity. The condition affects all ethnicities and both sexes. KC prevalence and incidence rates are close to between 0.2 and 4790 per 100,000 people and 1.5 and 25 cases per 100,000 person-years, respectively. For surgeons who implant Ferrara rings, the manufacturer has developed an online nomogram aimed at optimizing patient outcomes. Objective: The present study carried out a systematic review to present the main clinical outcomes of keratoconus treatment using the Ferrara ring. Methods: The systematic review rules of the PRISMA Platform were followed. The literature search was carried out from January to February 2023 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. Scientific articles from the last 15 years were selected. The quality of the studies was based on the GRADE instrument. The risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 60 articles were found, of which only 21 were part of this systematic review, after an eligibility analysis.It was concluded that the insertion of Ferrara rings in keratoconic eyes with previous cross-linking history using the company's nomogram results in significant improvements in visual, refractive, and tomographic results. Corneal densitometry in the anterior layer of the cornea decreases after the implantation of intrastromal corneal ring segments and correlates with corneal keratometry. Over 5 years, Ferrara-type intrastromal corneal ring segment implantation is a safe, effective, and stable procedure for restoring vision in pediatric patients with keratoconus old.
publishDate 2023
dc.date.none.fl_str_mv 2023-03-03
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dc.identifier.uri.fl_str_mv https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/264
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identifier_str_mv 10.54448/mdnt23103
dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/264/245
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rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
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dc.publisher.none.fl_str_mv Faceres
publisher.none.fl_str_mv Faceres
dc.source.none.fl_str_mv MedNEXT Journal of Medical and Health Sciences; Vol. 4 No. 1 (2023): MedNEXT - February 2023
MedNEXT Journal of Medical and Health Sciences; v. 4 n. 1 (2023): MedNEXT - February 2023
2763-5678
10.54448/mdnt231
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