Keratoconus

Keratoconus is a progressive eye disease where the normally round, dome-shaped cornea thins and bulges outward into a cone shape. This irregular shape distorts light as it enters the eye, causing blurred and distorted vision that cannot be fully corrected with standard glasses.

Keratoconus is a progressive eye disease where the normally round, dome-shaped cornea thins and bulges outward into a cone shape. This irregular shape distorts light as it enters the eye, causing blurred and distorted vision that cannot be fully corrected with standard glasses.

Symptoms

Vision becomes progressively blurry and distorted at all distances. You may see "ghost" images, experience increased light sensitivity and glare, and find that your glasses prescription changes frequently. It often starts in the teens or early 20s. Risk factors include a family history, vigorous eye rubbing, and certain connective tissue disorders.

Diagnosis

Diagnosis involves corneal topography and tomography, a painless imaging test that creates a detailed 3D map of the cornea's surface curvature. This map reveals the characteristic cone-shaped steepening.

Treatments

In early stages, specialty contact lenses (rigid gas permeable, scleral lenses) are the primary treatment to create a smooth visual surface. A procedure called corneal cross-linking uses UV light and eyedrops to stiffen the cornea, which can stop the progression. In advanced cases where vision is very poor, a corneal transplant may be necessary.

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