Understanding Keratoconus

Introduction: Keratoconus is a progressive eye disease that can alter the structure of the cornea, the clear, dome-shaped front surface of the eye, leading to distorted vision.

This condition affects people worldwide and typically begins to manifest in the teens or early twenties. In this post, we'll explore what Keratoconus is, its symptoms, and how it can be effectively managed, providing essential information for patients and their families.


What is Keratoconus?

Eye with Keratoconus

A normal cornea and a cornea with keratoconus.

Keratoconus is a non-inflammatory eye condition in which the normally round dome-shaped cornea progressively thins, causing a cone-like bulge to develop. This change in the corneal shape can cause significant visual impairment, including blurred vision and sensitivity to light. It is considered a corneal ectatic disorder and its exact cause is not fully understood, though it is believed to involve a combination of genetic, environmental, and hormonal factors.


Symptoms of Keratoconus:

The symptoms of Keratoconus can vary as the disease progresses. Initially, individuals may experience:

  • Mild blurring of vision

  • Slight distortion of vision

  • Increased sensitivity to light and glare

As the condition advances, symptoms might include:

  • Increased visual distortion

  • Increased blurriness of vision

  • The need for frequent changes in eyeglass prescriptions

Patients might also notice a significant glare and halos around lights, which can make night driving particularly challenging.


Diagnosing Keratoconus:

Keratoconus is typically diagnosed through a comprehensive eye exam and detailed corneal imaging. Tools like corneal topography, which maps the shape of the cornea, are essential in diagnosing and monitoring the progression of the disease.

Normal Corneal Tomography

keratoconus tomography

Tomography with Keratoconus


Management and Treatment Options:

While there is no cure for Keratoconus, several treatments are available that can help manage the condition effectively:

  1. Eyeglasses or Soft Contact Lenses: In early stages, vision correction with glasses or soft contact lenses is often sufficient.

  2. Rigid Gas Permeable (RGP) Contact Lenses: These lenses are effective in correcting the irregular cornea by creating a smooth surface over the eye.

  3. Scleral and Hybrid Lenses: Larger in diameter, these lenses cover a greater portion of the cornea and can provide more comfort and clearer vision.

  4. Collagen Cross-Linking (CXL): This relatively new treatment option can help to stop the progression of the disease by strengthening the corneal tissue.

  5. Corneal Transplant: In severe cases, when vision can no longer be corrected with lenses and the cornea becomes dangerously thin, a corneal transplant may be necessary.


Living with Keratoconus:

Managing Keratoconus is not just about treating the eye; it's about ensuring quality of life. Patients are encouraged to have regular follow-ups with their eye care provider to monitor their condition, adjust treatments as necessary, and receive support in adapting to vision changes.


Conclusion:

Keratoconus can be a challenging condition, but with early diagnosis and the right management strategies, patients can maintain active, fulfilling lives. If you suspect you or someone you know is showing symptoms of Keratoconus, it's important to consult with an eye care professional who can provide a proper diagnosis and discuss the best treatment options.

Struggling with vision issues? Contact us at Soliman Paroli today to schedule an appointment and explore your options for managing Keratoconus.

Phone number:

09158600555

(045) 4026386


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Corneal Crosslinking Explained: A Guide to Strengthening Your Vision

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5 benefits of scleral lenses