Ferrara ring and the nomogram as the main strategy for correcting keratoconus: a systematic review of clinical findings
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , |
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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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 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/other |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/264 10.54448/mdnt23103 |
url |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/264 |
identifier_str_mv |
10.54448/mdnt23103 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://mednext.zotarellifilhoscientificworks.com/index.php/mednext/article/view/264/245 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
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 reponame:MedNEXT Journal of Medical and Health Sciences instname:Faculdade de Medicina em São José do Rio Preto (Faceres) instacron:FACERES |
instname_str |
Faculdade de Medicina em São José do Rio Preto (Faceres) |
instacron_str |
FACERES |
institution |
FACERES |
reponame_str |
MedNEXT Journal of Medical and Health Sciences |
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MedNEXT Journal of Medical and Health Sciences |
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MedNEXT Journal of Medical and Health Sciences - Faculdade de Medicina em São José do Rio Preto (Faceres) |
repository.mail.fl_str_mv |
mednextjmhs@zotarellifilhoscientificworks.com |
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