Epithelial mapping key to keratoconus screening, therapeutic surgery

NEW ORLEANS — Dan Z. Reinstein, MD, offered pearls for therapeutic custom ablation at Refractive Surgery Subspecialty Day at the American Academy of Ophthalmology meeting.
“The key is that you need to have epithelial mapping, and it’s not just for therapeutic surgery,” Reinstein said. “You need it for keratoconus screening.”
Reinstein described therapeutic refractive surgery as “trying to fix a problem with a topography-guided treatment.” Treatments fall into one of four categories: asymmetric primary, zone enlargement, recentration and

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