Seth Pantanelli, M.D. is a cornea specialist and an Galilei topographer expert at the Penn State Hershey Medical Center’s Department of Ophthalmology, and he lives in Hershey, Pennsylvania, the city that chocolate built.
His clinical interests include medical and surgical management of corneal infections, keratoconus, Fuch’s endothelial dystrophy, and ocular surface diseases like graft-versus-host disease and neurotrophic keratopathy.
He also has clinical and research interests in intraocular lens power calculations for cataract surgery.
One of his most important instruments for fitting premium IOLs is the Galilei Topographer, which helps him evaluate which patients are candidates for premium IOLs. He measures angle kappa, inspects the regularity of astigmatism, and evaluates the posterior cornea information. He finds the latter most useful because it helps him identify patients that are exceptions to the rule.
“In most patients, the steep meridian of the posterior corneal curvature is oriented vertically,” he explains, “but 10-15% have it oriented horizontally. Identifying these patients is difficult and astigmatism correction in these patients is challenging. You can’t just plug their information into the Barrett Toric Calculator and expect to get a good result. But, with the Galilei, I can identify them and compensate for the unexpected finding.”
Pantanelli tracks keratoconus with the Galilei topographer
Pantanelli also uses the Galilei Topographer for diagnosing and monitoring the progression of keratoconus. “The metrics we have in the literature now for tracking progression are varied and not easy to remember,” says Pantanelli. “We are currently working on a study to better define what progression of keratoconus means on the Galilei, with the ultimate goal of simplifying its diagnosis.”
Another promising Galilei analysis that Pantanelli is keen on is the CLMI.X. “It’s great for helping to identify keratoconus, and we are evaluating the value of CLMI.X indices as they pertain to progression.”
Quantifying Irregular Astigmatism
Another report he finds valuable is Wavefront, which he uses to quantify patients’ level of irregular astigmatism. It helps him to evaluate which patients are likely to do well if he refers them to an optometrist for a scleral lens. Says Pantanelli, “We have an extremely large scleral lens practice that does a lot of good for a lot of patients, and I’m proud ‘and I’m proud to be able to provide this service through our department by way of our outstanding optometrists!”
“The best Trick or Treat ever”
For fun, Pantanelli travels with his wife and kids. They love skiing in the winter and thawing out in Florida. He lives in Hershey, PA, which is a playground for his children, and not just because of the chocolate. Halloween is the biggest holiday, and the whole family enjoys its small-town feel.
Learn more about Dr. Pantanelli on LinkedIn.