Clinical analysis therapy and tomographic parameters of patients diagnosed with keratoconus attended at Fundação Hilton Rocha

Abstract Objective: Analyze clinical data, therapy and tomographic parameters of patients attended at Fundação Hilton Rocha. Methods: This essay is a retrospective study based on a random sample of 150 patients submitted to cornea tomography and previous segment (Pentacam – Oculus, Wetzlar, Germany) at Fundação Hilton Rocha in the year 2015. The patients were classified as carriers or suspects of keratoconus through the following parameters: pachymetry, anterior and posterior central elevation, Ambrosio Relational Thinnest (ART), value of D and keratometry. After the selection an analysis of the medical records was done, followed by harvest of clinical and therapeutical data of the patients. The data was put on table and then analyzed. Results: From the numbers of the patients diagnosed with carriers of keratoconus, 23% had 6 altered parameters, and 10% were classified with only 1 altered parameter. The ART index was the one that suffered the largest change (83%) on the keratoconus carriers. After analysis of clinical and therapeutical data, 76.8% of patients showed better or more of 20/60 degree of visual acuity, and 19% mentioned signs of atopy, 90% of the patients were using only corrective lenses as treatment (glasses and contact lenses). Conclusion: The use of tomographic indexes for the diagnosis of keratoconus has been increasing the sensibility and specificity of the triage of carriers of this ecstasy, allowing an earlier and better diagnosis of this medical condition.