{"id":7297,"date":"2020-08-09T08:02:40","date_gmt":"2020-08-09T08:02:40","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=7297"},"modified":"2022-04-12T12:57:29","modified_gmt":"2022-04-12T12:57:29","slug":"keratoconus","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/keratoconus\/","title":{"rendered":"Keratoconus"},"content":{"rendered":"<h2><b>What is keratoconus?<\/b><\/h2>\n<p><b>Keratoconus is a progressive disease that causes thinning and reshaping of the cornea, the front part of your eye.\u00a0<\/b><\/p>\n<p>In a healthy eye, the cornea is clear and dome-shaped. When keratoconus develops, the cornea becomes thin and begins to bulge like a cone. This distorted shape causes blurry and distorted vision as the light that enters the eye can no longer properly focus onto the retina.<\/p>\n<p><b>Keratoconus usually causes mild to severe <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/what-is-astigmatism\/\">astigmatism<\/a>, and <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/what-is-myopia\/\">nearsightedness<\/a>, making reading and driving difficult. Keratoconus can also cause corneal swelling and scarring, and even vision loss.<\/b><\/p>\n<h2><b>What are the symptoms of keratoconus?<\/b><\/h2>\n<p>Keratoconus is often diagnosed among teens and young adults, and progresses for up to 20 years until it plateaus. Symptoms usually start out mild and become progressively worse over time\u2014 usually over a decade or two. In some cases, keratoconus symptoms progress rapidly.<\/p>\n<p>Keratoconus frequently affects both eyes, and can lead to different optical prescriptions between the two eyes.<\/p>\n<p>Symptoms of keratoconus may change over time, and can differ in each eye.<b>\u00a0<\/b><\/p>\n<p><strong>In its early stages<\/strong>, symptoms are generally mild, and may include:<\/p>\n<ul>\n<li style=\"font-weight: 400;\">Blurred vision<\/li>\n<li style=\"font-weight: 400;\">Distorted vision, straight lines appear wavy<\/li>\n<li style=\"font-weight: 400;\">Light sensitivity<\/li>\n<li style=\"font-weight: 400;\">Glare<\/li>\n<li style=\"font-weight: 400;\">Eye swelling or redness<\/li>\n<\/ul>\n<p>If keratoconus causes swelling, it will also cause the scarring over the corneal tissue\u2014 causing the cornea to become opaque and more difficult to see through. With corneal scarring, vision therefore becomes more blurry and distorted.<\/p>\n<p><strong>In its later stages,<\/strong> symptoms generally include<i>:<\/i><\/p>\n<ul>\n<li style=\"font-weight: 400;\">Increased vision distortions and blurred vision<\/li>\n<li style=\"font-weight: 400;\">Increased <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/what-is-myopia\/\">nearsightedness<\/a> or <a href=\"https:\/\/www.optometrists.org\/childrens-vision\/what-is-astigmatism\/\">astigmatism<\/a><\/li>\n<li style=\"font-weight: 400;\">Contact lens discomfort<\/li>\n<\/ul>\n<p><b>Caution: Avoid rubbing your eyes. <\/b>Rubbing your eyes can cause damage to the already thin corneal tissue, and result in worsening symptoms. Speak to your eye doctor about eye drops to control any <a href=\"https:\/\/www.optometrists.org\/dry-eye\/allergies\/\">allergies<\/a> that may be causing your itchy eyes.<\/p>\n<p><strong>If you suspect you have an eye condition,\u00a0<a rel=\"noopener\" href=\"https:\/\/www.optometrists.org\/practice-search\/\" target=\"_blank\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.optometrists.org\/practice-search\/&amp;source=gmail&amp;ust=1626760891136000&amp;usg=AFQjCNFHnklrD-k7GckF_J6pnDwdBDDa9Q\">contact an eye doctor<\/a>\u00a0near you, who can diagnose and treat the condition.<\/strong><\/p>\n<p><strong>SEE RELATED:<\/strong> <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/keratoconus\/keratoconus-treatment-corneal-cross-linking\/\">Keratoconus Treatment: Corneal Cross-linking<\/a><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>What causes keratoconus?<\/b><\/h2>\n<p>While the exact cause of keratoconus is uncertain, the following factors are most frequently associated with the development of this condition.<\/p>\n<ul>\n<li style=\"font-weight: 400;\">Genetics<\/li>\n<li style=\"font-weight: 400;\">Eye trauma<\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.optometrists.org\/dry-eye\/allergies\/\">Eye allergies<\/a><\/li>\n<li style=\"font-weight: 400;\">Excessive eye rubbing<\/li>\n<li style=\"font-weight: 400;\">Other eye diseases<\/li>\n<li style=\"font-weight: 400;\">Down syndrome<\/li>\n<li style=\"font-weight: 400;\">Osteogenesis imperfecta<\/li>\n<li style=\"font-weight: 400;\">Addison&#8217;s disease<\/li>\n<li style=\"font-weight: 400;\">Leber&#8217;s congenital amaurosis<\/li>\n<li style=\"font-weight: 400;\">Ehlers-Danlos Syndrome<\/li>\n<\/ul>\n<h2><b>How is keratoconus diagnosed?<\/b><\/h2>\n<p>Keratoconus is diagnosed during a comprehensive <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/comprehensive-eye-exams\/\">eye exam<\/a>:<\/p>\n<p><b>Corneal examination<\/b>. Your eye doctor will closely examine your corneal health, and evaluate its shape and curvature.<\/p>\n<p><a href=\"https:\/\/www.optometrists.org\/categories\/guide-to-eye-turns\/what-is-corneal-topography\/\"><b>Corneal mapping (topography)<\/b><\/a>. This is a non-invasive diagnostic tool that provides 3-D images of the cornea. The images provide details about the cornea\u2019s shape and curvature, and enable detection of irregular conditions.<\/p>\n<p>Corneal mapping is used to detect certain <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/guide-to-eye-conditions\/corneal-diseases\/\">corneal diseases<\/a>, abrasions, deformities, and irregular astigmatisms.\u00a0 Corneal mapping is also used to monitor and treat ocular conditions, plan eye surgery, and <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-contact-lenses\/what-are-contact-lenses\/the-contact-lens-exam\/\">fit contact lenses<\/a>.<\/p>\n<p>The diagnostic test involves sitting in front of an instrument called a Corneal Topographer, which sometimes appears as a lighted \u201cbowl\u201d, and resting your head against a bar.\u00a0 After your data is collected, a 3D color-coded image of your corneal shape is generated, using different colors to differentiate elevations.<\/p>\n<h2><b>How is keratoconus treated?<\/b><\/h2>\n<p>There are a few different ways to treat keratoconus. Your eye doctor will recommend the most effective treatment plan based on your presenting symptoms.<\/p>\n<h3><b>1. Eyeglasses and contact lenses<\/b><\/h3>\n<p>In its early stages, eyeglasses or <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-contact-lenses\/guide-to-soft-contacts-lenses\/\">soft contact lenses<\/a> can correct any distorted or blurred vision.<\/p>\n<p>As the disease progresses, <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-contact-lenses\/guide-to-hard-contact-lenses\/\">rigid gas permeable contact lenses<\/a> may be required for adequate correction.<\/p>\n<p><strong>The most effective contact lenses for keratoconus are Scleral contact lenses.<\/strong><\/p>\n<h3><b>2. Corneal cross-linking<\/b><\/h3>\n<p>Corneal cross-linking is an in-office procedure that strengthens the cornea by creating new bonds between the collagen fibers in your eye. These new bonds help to stiffen the cornea, to support its shape and provide extra resistance to the effects of worsening keratoconus.<\/p>\n<p>During the procedure, the epithelium, the front layer of the cornea, is either loosened (epi-on) or completely removed (epi-off), and an eye drop of liquid riboflavin (vitamin B2) is applied to the surface of the eye.<\/p>\n<p>After the liquid riboflavin eye drops have been inserted, ultraviolet light (UV) is then administered to the eye at varying levels of time and intensity, and is absorbed by the cornea. The UV light functions to stabilize the cornea and slow the progression of disease.<\/p>\n<p><b>The epi-off procedure is 95 percent effective in stopping the progression of keratoconus.<\/b> The epi-on procedure is also effective, though the data on its long term efficacy is less known, as epi-off is more commonly performed.<\/p>\n<p>When corneal cross-linking is used in the early stages of keratoconus, it can prevent vision loss even before corrective lenses are needed. It is the only treatment method that can stop keratoconus from worsening and reduce your chances for a corneal transplant later on in life.<\/p>\n<h3><b>3. Intacs surgery<\/b><\/h3>\n<p>Intacs are thin plastic, semi-circular rings that are surgically implanted into the middle layer of the cornea to flatten cornea. The intacs hold the shape of the cornea and eliminate any abnormalities caused by keratoconus.<\/p>\n<p>This procedure typically improves vision to the point that eyeglasses or contact lenses are no longer needed. In severe cases, corrective eyewear may still be required.<\/p>\n<h3><b>4. Corneal transplant<\/b><\/h3>\n<p>In advanced keratoconus, a corneal transplant may be necessary to replace the damaged cornea with a new one. This surgery is successful in about 90 percent of people, though most patients will still require eyeglasses or contact lenses even after the transplant.<\/p>\n<p><strong>LEARN MORE:\u00a0<\/strong>\u00a0<a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/\"><strong>Guide to Corneal Conditions<\/strong><\/a><\/p>\n<p><b>If you notice any changes to your vision, it is important to <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">schedule an eye exam<\/a> as soon as possible.<\/b><i>\u00a0<\/i><\/p>\n<p><em>An early diagnosis of keratoconus can facilitate optimal treatment results, providing you the best chance of maintaining your clear vision and corneal health.<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is keratoconus? Keratoconus is a progressive disease that causes thinning and reshaping of the cornea, the front part of your eye.\u00a0 In a healthy<\/p>\n","protected":false},"author":4,"featured_media":7298,"parent":20099,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[156,229,228,341,330,216,90,125,136],"class_list":["post-7297","page","type-page","status-publish","has-post-thumbnail","hentry","tag-blurry","tag-contact-lenses","tag-cornea","tag-corneal-disease","tag-corneal-swelling","tag-disease","tag-myopia","tag-near-vision","tag-vision-problem"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Keratoconus - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/guide-to-eye-conditions\/guide-to-corneal-diseases\/keratoconus\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Keratoconus - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"What is keratoconus? 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