We Can Manage the Care of Keratoconus

Keratoconus is a somewhat rare condition that affects the front of the eye called the cornea. The cornea is important because it provides much of the focusing needed to see clearly. The condition usually causes thinning and bulging of the lower portion of the cornea. The unevenness in shape of the cornea caused by the condition affects the clarity of vision. Some people are minimally affected; others are legally blind without the help of special rigid-surfaced contact lenses to mask the eye’s irregularity.


There is debate on the incidence of people who have keratoconus. It had been published that about one in two thousand people have the condition, but we now know due to the advances in diagnostic equipment that many more people are affected. Genetics play a major role in the tendencies to develop keratoconus, with some groups such as Asians having higher rates than other groups. We also know that having concurrent allergies that cause eye rubbing may contribute to the tendency for the condition to progress. Keratoconus usually first shows up during puberty and can progress into adult life with the condition most often stable in midlife.

In mild cases of keratoconus glasses or soft contact lenses can be prescribed to correct the vision. As the condition progresses a rigid surfaces lens may be preferred for better vision. We now have many contact lens options to correct the sight of those with keratoconus with hybrid soft/hard lenses and scleral contact lenses being the most advanced forms of treatment.

For those with progressing keratoconus there is also now a surgical option that can stabilize the condition called corneal crosslinking; it is FDA approved.    Corneal inlays have also been used by some surgeons to help make the eye more regular. In the most advanced cases of keratoconus a corneal transplant may be needed to maintain vision. Corneal crosslinking done soon enough should prevent that option.

Dr. Amundsen has three decades of experience managing the care of keratoconus. He is comfortable providing the full range in options for treatment of keratoconus, including all forms of contact lenses available, and when necessary, referral to the best surgeon to stabilize the condition. You can feel comfortable having him manage your care if you have keratoconus.

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