Global consensus on keratoconus and ectatic diseases

Group of Panelists for the Global Delphi Panel of Keratoconus and Ectatic Diseases

Research output: Contribution to journalArticlepeer-review

472 Scopus citations


Background: Despite extensive knowledge regarding the diagnosis and management of keratoconus and ectatic corneal diseases, many controversies still exist. For that reason, there is a need for current guidelines for the diagnosis and management of these conditions. Purpose: This project aimed to reach consensus of ophthalmology experts from around the world regarding keratoconus and ectatic diseases, focusing on their definition, concepts, clinical management, and surgical treatments. Methods: The Delphi method was followed with 3 questionnaire rounds and was complemented with a face-to-face meeting. Thirtysix panelists were involved and allocated to 1 of 3 panels: definition/ diagnosis, nonsurgical management, or surgical treatment. The level of agreement considered for consensus was two thirds. Results: Numerous agreements were generated in definitions, methods of diagnosing, and management of keratoconus and other ectatic diseases. Nonsurgical and surgical treatments for these conditions, including the use of corneal cross-linking and corneal transplantations, were presented in a stepwise approach. A flowchart describing a logical management sequence for keratoconus was created. Conclusions: This project resulted in definitions, statements, and recommendations for the diagnosis and management of keratoconus and other ectatic diseases. It also provides an insight into the current worldwide treatment of these conditions.

Original languageEnglish (US)
Pages (from-to)359-369
Number of pages11
Issue number4
StatePublished - Mar 21 2015


  • consensus
  • corneal crosslinking
  • corneal ectasia
  • corneal transplantation
  • keratoconus

ASJC Scopus subject areas

  • Ophthalmology


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