Keratoconus

What is Keratoconus?

Keratoconus occurs when the cornea becomes thin and slowly bulges outward into a cone-like shape. Corneal thinning results in blurry vision and may cause sensitivity to light. This condition usually begins around puberty and slowly progresses into the mid-30s.

Symptoms of Keratoconus

At first, patients with keratoconus may simply experience bad vision. The symptoms of keratoconus may change over time as the disease progresses, and include:

  • Blurred vision
  • Distorted vision
  • An increased sensitivity to light
  • Sudden worsening of vision and irregular astigmatism
  • Eye irritation and/or headaches
  • Frequent changes in vision correction prescriptions

KNOW YOUR DOCTOR

Dr. Archana Gupta

Cataract Surgeon, Ophthalmologist, Cornea & External Diseases Specialist

Dr. Archana Gupta is a board certified ophthalmologist. She specializes in cataract, cornea, external diseases and refractive surgery.

What Causes Keratoconus?

The exact cause of keratoconus is not completely understood, though it is believed that it may be present at birth. There are certain factors that may increase your risk for developing this disease including genetics, chronic eye inflammation, corneal scarring, chronic eye rubbing (which damages the corneal tissue), and age.

Diagnosis and Treatment of Keratoconus

In order to diagnose and treat keratoconus, Dr. Gupta will perform an eye exam in our office. She may also choose to perform other tests such as an eye refraction test, slit-lamp examination, keratometry, or computerized corneal mapping in order to correctly diagnose your condition.

The treatment for keratoconus is dependent on the severity of your symptoms and how quickly the condition is progressing. Generally, treatment options can be determined depending on the stage of your disease.

Early Stages

In the early stages of keratoconus, treatment commonly involves eyeglasses or soft contact lenses to treat nearsightedness and astigmatism. A corneal topography might be recommended to track further changes.

Middle Stages

As keratoconus progresses, corneal collagen cross-linking is an option to prevent vision from worsening, and sometimes, improve vision. Corneal cross linking is an in-office procedure that involves applying a vitamin B solution to the eye, which is then activated by ultraviolet light. This process causes new collagen bonds to develop, preserving the shape and strength of the cornea. Scleral lenses may also be recommended at this stage.

Late Stages

If your keratoconus is in the advanced stages, a cornea transplant surgery is often necessary. A corneal transplant removes either the entire or partial thickness of the diseased cornea and replaces it with healthy donor tissue. There are a number of different surgical methods to achieve this, which Dr. Gupta will discuss with you prior to surgery. In most cases, glasses or contact lenses are needed to provide optimal vision after a corneal transplant.

TRUST THE RESULTS

  • "Professional, Excellent and Thorough"

    I thought it was very professional. The exam was excellent. Very thorough. The technician was great and the doctor is wonderful. The doctor was very calming.

    - MP

  • "Dr. Gupta is a True Compassionate Professional"

    My experience has been wonderful. I would recommend this practice highly. Dr. Gupta is a true compassionate professional.

    - MW

  • "Pleasant, Prompt and Professional"

    It was pleasant, prompt and professional. The Dr.'s assistant was very helpful and explained the procedure well.

    - MM

Schedule Your Free Consultation

If you are experiencing the symptoms associated with keratoconus, do not hesitate to contact Advanced Eye Surgeons today. We will be more than happy to schedule your eye exam appointment with Dr. Gupta, which is your first step toward treatment.

Keratoconus FAQS

Is keratoconus hereditary?

It can run in families, but not everyone with a family history will develop it.

Does keratoconus get worse over time?

Yes, it is typically a progressive condition, especially in younger patients.

Can glasses correct keratoconus?

Glasses help early on but become less effective as the condition progresses.

What happens if keratoconus is left untreated?

If keratoconus is left untreated, the progressive thinning and bulging of the cornea can lead to significant deterioration of your vision. Initially, individuals may experience mild symptoms such as blurred vision or increased sensitivity to light, which can often be managed with glasses or soft contact lenses. However, as the condition progresses, the corneal distortion becomes more pronounced, resulting in increased astigmatism and irregularities that cannot be corrected with conventional lenses.

Is keratoconus related to allergies?

Keratoconus and allergies can indeed be related in some cases. While the exact cause of keratoconus remains unknown, individuals with allergic conditions such as hay fever, eczema, and asthma often engage in frequent eye rubbing due to itchiness, which could potentially contribute to the progression of keratoconus.

Can keratoconus stabilize on its own?

While keratoconus is a degenerative condition, the progression of keratoconus can vary significantly from person to person. In some cases, especially in individuals with mild forms of the condition, keratoconus may stabilize on its own over time. However, it's important to note that while stabilization can occur, it is not guaranteed for everyone.

Can keratoconus come back after treatment?

While keratoconus treatments are often effective in stabilizing the condition, it is not impossible for keratoconus to show signs of progression or for symptoms to alter over time, even after treatment. In some cases, additional interventions may be necessary if changes in the corneal structure are observed or if vision impairment persists or worsens.

Can pregnancy affect keratoconus?

During pregnancy, hormonal changes can impact various parts of the body, including the eyes. These hormonal fluctuations can potentially exacerbate the symptoms of keratoconus, as the cornea may become more susceptible to swelling or changes in shape. It's essential for pregnant individuals with keratoconus to monitor their eye health closely, as changes in vision may occur during this time.

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