keratoconousKeratoconus is an uncommon condition in which the normally round, dome-like cornea (the clear front window of the eye) becomes thin and develops a cone-like bulge.  Keratoconus literally means “cone-shaped cornea.”  A cornea with Keratoconus has a pointed shape more like the end of a football, rather than the side of a basketball.  In most cases, a cornea with Keratoconus will be much thinner than normal.  The cause of keratoconus is still not known. 

What are the symptoms of keratoconus?

keratoconousKeratoconus usually affects both eyes, though symptoms in each eye may differ.  Symptoms usually start to occur in people who are in their late teens and early twenties and may include:

  • mild blurring of vision;
  • slight distortion of vision;
  • increased sensitivity to light;
  • glare; and/or
  • mild irritation.

The rate of progression varies.  It will often progress slowly for 10 to 20 years and then suddenly stop.  As the condition progresses, most common symptoms include:

  • increased blurring and distortion of your vision;
  • increased nearsightedness or astigmatism; and/or
  • frequent eyeglass prescription changes.

Occasionally, keratoconus can advance rapidly, causing the cornea to become scarred.  Scar tissue on the cornea causes the cornea to lose its smoothness and clarity.  As a result, even more distortion and blurring of vision can occur.

What causes keratoconus?

The cause of keratoconus is still not known.  Some researchers believe that genetics play a role, since an estimated 10% of people with keratoconus also have a family member with the condition.

How is keratoconus treated?

keratoconousTreatment will often depend on the severity of the condition.  During early stages, vision can be corrected with eyeglasses.  As the condition progresses, rigid contacts may need to be worn so that light entering the eye is refracted evenly and vision is not distorted.  You should also refrain from rubbing your eyes, as this can aggravate the thin corneal tissue and make symptoms worse.   Patients with Keratoconus are NOT candidates for refractive surgeries like LASIK and PRK.  These procedures should never be done in patients with Keratoconus so as to avoid making a thin and unstable cornea thinner and more unstable.

When good vision is no longer possible with contact lenses, a corneal transplant is recommended.  This surgery is only necessary in about 10-20% of patients with keratoconus.  In a corneal transplant, a cornea specialist removes the diseased cornea from your eye and replaces it with a healthy donor cornea.

While a corneal transplant will relieve the symptoms of keratoconus, it may not provide you with flawless vision; eyeglasses or contacts may still be needed to achieve your best vision.

An Ophthalmologist is a medical doctor who is trained in traditional medical school and then in a residency focused on diseases of the eye and all types of surgical procedures for the eyes and eyelids. Ophthalmologists have the ability to provide total eye care. Optometrists are trained through specialized schools in the diagnosis and treatment of all types of vision and refractive problems of the eye, such as nearsightedness, farsightedness and astigmatism, and are also trained to fit glasses and contact lenses and to prescribe aids for low vision, such as glasses and contact lenses.

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