Keratoconus

👁️ Keratoconus – Overview

Keratoconus is a progressive eye condition where the normally round cornea thins and bulges outward into a cone shape. This irregular shape distorts vision and can cause significant visual impairment.


⚙️ Causes

  • Exact cause unknown, but likely a combination of genetic and environmental factors
  • Eye rubbing and certain conditions like allergies may worsen it

📋 Symptoms

  • Blurred or distorted vision
  • Increased sensitivity to light and glare
  • Frequent changes in eyeglass prescription
  • Eye strain and headaches
  • Double vision or ghost images

🩺 Diagnosis

  • Corneal topography: maps the shape of the cornea
  • Slit-lamp examination
  • Measurement of corneal thickness (pachymetry)

💊 Treatment

  • Early stages:
    • Glasses or soft contact lenses
    • Rigid gas-permeable (RGP) or scleral contact lenses for better vision correction
  • Progressive keratoconus:
    • Corneal cross-linking (CXL) to strengthen corneal tissue and slow progression
  • Advanced cases:
    • Intacs (corneal implants) to reshape the cornea
    • Corneal transplant (keratoplasty) if vision is severely affected

⚠️ Complications

  • Severe vision loss if untreated
  • Corneal scarring

🛡️ Management

  • Avoid eye rubbing
  • Regular monitoring by an eye specialist
  • Early treatment to slow progression

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