Surgical Management of Keratoconus in a Young Adult with Cognitive and Behavioral Disability

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Author Info

Patricia I. Cobb W. Walker Motley

Corresponding Author

W. Walker Motley
Cincinnati Children’s Hospital Medical Center, University of Cincinnati, Abrahamson Pediatric Eye Institute, Cincinnati, Ohio, USA

A B S T R A C T

Case Presentation: A 25-year-old man with cognitive impairment (CI) and behavioral issues presented for corneal collagen crosslinking (CXL) surgical management of progressive keratoconus. Results: The conventional CXL technique was modified to avoid complications due to potential postoperative behavioral issues. Conclusions: Significant post-operative pain and aggressive behaviour can occur following epi-on CXL. Aggressive behaviour can result in significant complications in relatively low-risk eye surgery. Preoperatively, it is appropriate to devise a multifaceted surgical, medical and behavioural treatment plan including psychotropic if needed in patients with history of cognitive impairment and aggressive behaviour.

Article Info

Article Type

Case Report

Publication history

Received: Sat 11, Apr 2020
Accepted: Thu 23, Apr 2020
Published: Thu 30, Apr 2020

Copyright

© 2023 W. Walker Motley. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2020.04.12