article = {SCR-2020-4-112}
title = {Surgical Management of Keratoconus in a Young Adult with Cognitive and Behavioral Disability}
journal = {Surgical Case Reports}
year = {2020}
issn = {2613-5965}
doi = {http://dx.doi.org/10.31487/j.SCR.2020.04.12}
url = {https://www.sciencerepository.org/surgical-management-of-keratoconus-in-a-young-adult_SCR-2020-4-112 
author = {Patricia I. Cobb,W. Walker Motley,}
keywords = {Crosslinking, disability, keratoconus}
abstract ={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.}