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. 2020 Nov 23;68(12):2831–2834. doi: 10.4103/ijo.IJO_2078_20

Table 1.

The New ABCD system for classification of keratoconus

ABCD Criteria A
ARC (3 mm Zone)
B
PRC (3 mm Zone)
C
Thinnest Pach µm
D
BDVA
Scarring
Stage 0 >7.25 mm (<46.5 D) >5.90 mm (<57.25 D) >490 µm =20/20 (=1.0) -
Stage I >7.05 mm (<48.0 D) >5.70 mm (<59.25 D) >450 µm <20/20 (<1.0) -, +, ++
Stage II >6.35 mm (<53.0 D) >5.15 mm (<65.5 D) >400 µm <20/40 (<0.5) -, +, ++
Stage III >6.15 mm (<55.0 D) >4.95 mm (<68.5 D) >300 µm <20/100 (<0.2) -, +, ++
Stage IV <6.15 mm (>55.0 D) <4.95 mm (>68.5 D) = 300 µm <20/400 (<0.05) -, +, ++