The Arrangement of a Framework, Scheimpflug Imaging and the Modern Treatment of the Ectatic Corneal Disorder: Keratoconus
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Abstract
Objective: To review recent advancements in the understanding, diagnosis, and management of keratoconus, emphasizing the role of Scheimpflug imaging and the Belin ABCD classification in early detection and treatment planning. Design: Systematic review conducted in accordance with PRISMA 2020 guidelines. Methods: Electronic searches were performed using PubMed, Scopus, and Google Scholar (2010–2025) with keywords “Scheimpflug imaging,” “keratoconus,” and “corneal tomography.” Out of 178 identified records, 23 studies met inclusion criteria and were analyzed qualitatively for diagnostic precision, epidemiology, and treatment outcomes. Results: Scheimpflug-based imaging significantly enhances diagnostic accuracy by generating 3D corneal tomography and evaluating both anterior and posterior curvatures, pachymetry, and biomechanical indices. Epidemiological data reveal higher keratoconus prevalence in Asia and the Middle East. Management strategies-ranging from contact lenses and corneal collagen cross-linking (CXL) to DALK, PK, ICRS, and CAIRS-demonstrate improved stabilization and visual outcomes. The Belin ABCD classification outperforms traditional Amsler-Krumeich grading for progression monitoring. Conclusion: Integration of advanced imaging and modern classification systems has revolutionized keratoconus management. Scheimpflug imaging, when combined with personalized therapeutic approaches, allows earlier intervention, better disease stabilization, and enhanced visual prognosis.
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Copyright (c) 2025 Mahesh Chandra, PhD, Jitendra Singh, PhD, Imran Ahmad Ansari, Ayush Jha
This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
Mahesh Chandra, PhD, Department of Optometry, Dr. Sushila Tewari Hospital & Government Medical College, Haldwani, Uttarakhand, India.
Department of Optometry, Dr. Sushila Tewari Hospital & Government Medical College, Haldwani, Uttarakhand, India.
Jitendra Singh, PhD, Clear Vision, (Eye Care Centre), Sec-29, Faridabad, Haryana, India.
Clear Vision, (Eye Care Centre), Sec-29, Faridabad, Haryana, India.
Imran Ahmad Ansari, Bareilly Institute of Paramedical Sciences, Bareilly, UP, India.
Bareilly Institute of Paramedical Sciences, Bareilly, UP, India.
Ayush Jha, Jeewan Dan Medical Center, Moti Nagar, Haldwani, Uttarakhand, India.
Jeewan Dan Medical Center, Moti Nagar, Haldwani, Uttarakhand, India.
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