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HomeConditionsKeratoconus
Corneal

Keratoconus

Keratoconus is a progressive condition in which the normally round cornea thins and begins to bulge outward into a cone shape. This irregular shape prevents light from focusing properly on the retina, causing distorted and blurred vision. It typically begins during teenage years and may progress through the 20s and 30s.

Symptoms

Progressive blurring of vision
Increasing astigmatism or nearsightedness
Frequent changes in glasses prescription
Distortion of vision (straight lines appear bent)
Sensitivity to light and glare
Difficulty with night driving

Risk Factors

Family history of keratoconus
Chronic eye rubbing
Allergic eye disease (atopic conditions)
Down syndrome
Connective tissue disorders
Typically starts in teenage years

Causes

The exact cause is not fully understood. It involves weakening of the collagen fibers that maintain corneal shape. Genetic factors play a role, with about 10% of patients having a family member with keratoconus. Eye rubbing, allergic eye disease, and connective tissue disorders are associated risk factors.

Treatment Approaches

Corneal Cross-Linking (C3R)

UV light and riboflavin drops strengthen corneal collagen fibers, halting or slowing disease progression. Most effective when done early.

Specialty Contact Lenses

Rigid gas-permeable, scleral, or hybrid lenses provide a smooth optical surface over the irregular cornea, significantly improving vision quality.

Corneal Transplant

In advanced cases where contact lenses no longer provide adequate vision, a corneal transplant (keratoplasty) may be recommended.

Prevention & Care

Avoid rubbing your eyes
Manage allergies effectively
Early screening for family members of affected patients
Regular corneal topography to monitor progression

Related Treatments

LASIK / ICL

Modern refractive surgery options to reduce or eliminate dependence on glasses and contact lenses.

View treatment

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