Keratoconus Treatment Options

 

Medical treatment: All patients should stop eye rubbing. Allergies of the eye may be brought under control with drops

Glasses: This is the first line of treatment. Most patients have had a pair of glasses at one time or another and have been told they have "astigmatism". When astigmatism is severe, glasses become visually intolerable  

Contact lenses: When glasses fail to provide adequate visual function, contact lenses may help. With patient motivation, fitting expertise, and newer types of contact lenses, many keratoconus sufferers can achieve good visual function.

Transplantation Surgery: When a stable contact lens fit cannot be obtained or if the contact fit does not provide adequate vision, surgery is often considered. Stromal transplantation is the procedure of choice to eliminate endothelial rejection and failure of the cornea after surgery. It also has a higher success rate than full thickness transplantation. If Keratoconus is too advanced, stromal transplantation may not possible, with full thickness transplantation the only surgical option. This is associated with greater short and long term risks.

Non transplant surgery: In some patients, Intacs and Collagen Cross Linking can be considered. Intacs may provide an improvement in vision in low to moderate Keratoconus patients. Collagen cross linking may slow or halt disease progression. Both techniques are still under investigation, and are not suitable for sufferers of advanced Keratoconus

 

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