Keratoconus Surgery: Advanced Treatment Options for Clear Vision

Keratoconus is a progressive eye condition where the dome-shaped cornea gradually becomes thin and bulges outward like a cone. This affects the cornea’s ability to focus light properly, leading to distorted or blurred vision. The condition can progress over time, making everyday activities like reading, driving, or seeing fine details increasingly difficult. Understanding this condition and its impact is crucial for early detection and effective management. With advancements in keratoconus treatment, patients can maintain their quality of life through proper care and timely intervention.

What is Keratoconus?

Keratoconus primarily affects the cornea’s structure, leading to irregular astigmatism and myopia (nearsightedness). As the cornea becomes thinner and more conical, it loses its ability to refract light evenly, resulting in vision problems. The condition usually begins in adolescence or early adulthood and can worsen over a span of 10-20 years. Corrective lenses may manage early stages, but advanced cases often require specialised treatments or surgical interventions as a cure for keratoconus. While the exact cause of keratoconus remains unclear, genetic and environmental factors are believed to play significant roles in its development.

How does Keratoconus Affect Eye Vision?

Keratoconus is an eye condition that distorts the cornea’s shape, causing irregular astigmatism and myopia. This prevents light from focusing properly on the retina, leading to blurred, hazy, or double vision, increased glare, and difficulty seeing fine details, especially in low-light conditions. Early detection is essential for managing the progressive impact on keratoconus vision.

Symptoms of Keratoconus

Keratoconus is a progressive eye condition that develops slowly over time. As the cornea thins and bulges outward into a cone-like shape, its ability to properly focus light is impaired, leading to increasing vision problems. In the early stages, Keratoconus symptoms may be mild and can be easily mistaken for common refractive errors, but they tend to worsen as the disease progresses. Recognizing these early warning signs is crucial, as timely Keratoconus diagnosis and treatment can help slow progression, preserve vision, and improve overall quality of life. Common symptoms include:

  • Blurred or distorted vision: Objects may appear stretched, hazy, or unclear due to irregular light refraction.
  • Increased light sensitivity: Bright light or glare can cause discomfort and make focusing difficult.
  • Frequent prescription changes: Rapid and repeated shifts in eyeglass or contact lens prescriptions are common.
  • Difficulty with night vision: Vision becomes unclear in dim or low-light conditions, which can affect driving and outdoor activities.
  • Double vision in one eye: Seeing multiple overlapping images even when only one eye is open.
  • Ghosting or halos: Rings or streaks appear around lights, particularly at night.

Keratoconus signs tend to progress over time, making regular eye check-ups crucial for early detection and management.

Have you noticed any of the symptoms of keratoconus recently?

Causes of Keratoconus

The exact keratoconus causes remains unknown, but several factors are thought to contribute to its development:

  • Genetics: A family history of keratoconus increases the risk of developing the condition.
  • Chronic eye rubbing: Frequent or intense rubbing of the eyes can cause damage to the corneal tissue, potentially leading to keratoconus.
  • Underlying health conditions: Certain medical conditions, such as Down syndrome or connective tissue disorders, may increase the likelihood of keratoconus.
  • Oxidative stress: An imbalance in corneal cells due to a lack of protective enzymes may weaken the corneal structure.

Understanding these factors can help in the early diagnosis and tailored management of keratoconus.

Diagnosis for Keratoconus

Diagnosing keratoconus involves a series of specialised tests that assess the shape and structure of the cornea. The primary methods include:

  • Corneal topography: A detailed map of the corneal surface is created to detect any abnormalities in its shape.
  • Slit-lamp examination: This test allows the ophthalmologist to view the cornea’s condition and check for signs of thinning.
  • Pachymetry: This measures the thickness of the cornea, helping to identify any areas of thinning that indicate keratoconus.
  • Keratometry: A tool used to measure the cornea’s curvature, assessing its shape and refractive properties.

These diagnostic techniques enable precise identification of keratoconus, allowing for a targeted treatment approach.

Risks and Side Effects of Keratoconus Treatment

Like any medical condition, keratoconus and its treatments come with potential risks and side effects. Understanding these helps patients make informed decisions and manage the condition more effectively.

Risks of Developing Keratoconus

  • Genetics: A family history of keratoconus increases the likelihood of developing the condition.
  • Excessive Eye Rubbing: Continuous or vigorous rubbing weakens the cornea, leading to thinning and bulging.
  • Underlying Medical Conditions: Asthma, Down syndrome, and connective tissue disorders are linked with higher keratoconus risk.

Oxidative Stress: Imbalance in protective enzymes may weaken corneal tissues, making them more vulnerable.

Side Effects of Keratoconus and Its Treatments

  • Complications from Keratoconus: Corneal scarring, sudden swelling (corneal hydrops), iron deposits (Fleischer rings), and progressive vision loss.
  • Corneal Cross-Linking Risks: Temporary eye pain, irritation, dry eyes, infection, or, in rare cases, progression of keratoconus.
  • Intacs Implant Complications: Infection, glare, halos, or further corneal thinning.
  • Corneal Transplant Risks: Possible graft rejection, infection, or secondary glaucoma.
  • Contact Lens Side Effects: Rare but may include redness, irritation, or discomfort if not fitted properly.

Keratoconus Treatment Options in India

There are several effective treatment options available to manage keratoconus, depending on the severity of the condition and the individual needs of the patient:

  • Glasses or Contact Lenses: In the early stages of keratoconus, regular eyeglasses or soft contact lenses can often correct vision problems. As the condition progresses, specialised lenses like rigid gas permeable (RGP) or scleral lenses may become necessary to provide clearer vision.
  • Corneal Cross-Linking: This minimally invasive procedure combines riboflavin (vitamin B2) eye drops with ultraviolet (UV) light to strengthen the corneal fibres. The aim is to stabilise the cornea and slow down or halt the progression of keratoconus.
  • Intacs: These are small, crescent-shaped implants that are surgically placed within the cornea to help flatten its shape, thereby improving vision clarity in patients with moderate keratoconus.
  • Corneal Transplant: Full-thickness corneal transplant, i.e., Penetrating Keratoplasty (PK) or partial-thickness corneal transplant, i.e., Deep Anterior Lamellar Keratoplasty (DALK), may be required in advanced cases.

 Choosing the most suitable treatment for keratoconus depends on factors such as the severity of the condition and the patient’s specific visual requirements. Consulting with an eye care specialist is essential to determine the best approach tailored to individual needs.

Advances in Keratoconus Treatment

Recent advancements in keratoconus management have introduced new techniques that show promising results:

  • Implantable Contact Lenses (ICL): In this procedure, lenses are surgically implanted into the cornea of the Keratoconus eye to improve vision without altering the natural corneal structure, offering an alternative for patients who are not suitable candidates for other treatments.
  • Topography-Guided Laser Treatment: This advanced laser therapy reshapes the corneal surface based on detailed mapping, aiming to correct the irregularities caused by keratoconus and enhance visual clarity.

 While these emerging treatments offer innovative ways to manage keratoconus, they may not suit everyone. A detailed evaluation with an eye care professional is essential to determine the most effective treatment strategy for each individual.

Lifestyle Tips for Managing Keratoconus

In addition to keratoconus surgeries and medical treatments, there are lifestyle tips that can help individuals with keratoconus manage their condition. These include:

  • Avoiding rubbing your eyes: Rubbing your eyes can further weaken the cornea and worsen the symptoms of keratoconus. Resist the urge to rub your eyes and seek alternative ways to relieve itching or discomfort.
  • Maintaining Vitamin D levels: It may have a beneficial effect on reducing the progression of Keratoconus.
  • Following a healthy diet: A balanced diet rich in vitamins and nutrients can support eye health and overall well-being. Incorporate foods such as fruits, vegetables, and omega-3 fatty acids into your diet.
  • Managing allergies and dry eye: Allergies and dry eye can exacerbate the symptoms of keratoconus. Learn to manage these conditions through proper medication and eye drops.

Incorporating these lifestyle tips into your daily routine can help you manage keratoconus and improve your overall eye health.

Why Choose Centre for Sight for Keratoconus Treatment?

Centre For Sight is a leading choice for keratoconus treatment, offering specialised care focusing on patient well-being. Here’s what sets us apart:

  • Expertise: Our team of experienced eye specialists provides accurate diagnoses and personalised treatment plans tailored to each patient’s needs.
  • Advanced Technology: We utilise the latest tools and equipment for precise and effective treatment, including cutting-edge corneal cross-linking technology.
  • Comprehensive Care: From keratoconus surgery to contact lens fittings and corneal cross-linking, we offer a range of solutions to meet each patient’s unique needs.
  • Patient-Centred Approach: We prioritise clear communication and support, helping you understand your options and make informed decisions about your eye health.
  • Proven Results: With a solid track record of positive outcomes, we are dedicated to enhancing your vision and ensuring long-term eye health.

 Choosing Centre For Sight means receiving expert care in a supportive, technology-driven environment focused on the best possible outcome.

Frequently Asked Questions

What Is the First Line Treatment for Keratoconus?

The first-line treatment for keratoconus often involves the use of specialty contact lenses, such as rigid gas permeable (RGP) lenses or scleral lenses, to correct vision and improve comfort. Crosslinking must be done in progressive cases.

Keratoconus can be managed and its progression slowed, but it cannot be fully corrected.

Corneal transplant once is done, lasts lifelong if the body accepts the graft. However, in cases of graft rejection or failure, repeat surgeries may be required.

Yes. Keratoconus Treatment are successful. Certain medicines are prescribed to aid in the acceptance and survival of the graft.

The consulting ophthalmologist would determine whether you need a corneal transplant or not.

Yes, it is. It is a painful condition and needs urgent attention before it gets infected and forms a corneal ulcer.

Usually, corneal abrasion heals without any permanent damage, provided it is not infected.

There are various keratoconus treatment options available, depending on the severity of keratoconus. Starting from glasses and contact lenses, they go on to include C3R, INTACS or ring segments, DALK, combination therapy with ICL and PK for advanced cases.

Corneal transplantation is a surgery that includes the replacement of the defective cornea with a healthy cornea received by the eye donation. Eye donation in Delhi is simple as many institutions help you do this act of charity and kindness. Centre for Sight is also one of the places for eye donation in Delhi.

It is a sight-threatening condition that warrants timely treatment as it is known to progress with time.

Yes. Keratoconus patients can wear glasses to gain optimal vision.

Yes. Some instances of keratoconus may have a visual disability.

Keratoconus is a fairly common disease seen amongst the young population ageing below 30 years. It is relatively common in patients having allergies and who may be rubbing their eyes.

Contact lenses for keratoconus are designed to enhance the level of vision when you use them. If lenses are well adjusted and treated, they do not worsen the condition. Although unsuitable or dirty lenses can cause infection in the cornea.

The course of the keratoconus treatment can vary from patient to patient. With some patients, it can remain stable for years or indefinitely, while with some, it can progress rapidly or experience occasional exacerbations over a long and otherwise steady course. Most commonly, keratoconus progresses for a period of 10 to 20 years before it stabilizes usually by the third to fourth decade of life.

The main cause of keratoconus is believed to be a combination of genetic predisposition and environmental factors, such as eye rubbing and allergies.

The best treatment for keratoconus depends on the severity of the condition. Options include specialty contact lenses, corneal collagen cross-linking (CXL), intracorneal ring segments (ICRS/INTACS), or corneal transplant surgery.

The eye bank arranges for donor corneal tissue. Patients may have to wait for the availability for a healthy donor cornea of the appropriate age and good quality for some time.

Corneal transplant does not cure glaucoma.

Corneal traumas in the form of abrasions occur. These abrasions may get infected and cause ulcers if not treated in time. You will feel pain, watering and associated redness. It is best not to self-medicate. Please contact your nearest eye specialist immediately.

Depending on the size of the abrasion, it may take 24-72 hours to heal.

Advanced keratoconus may reduce the vision to an extent where daily routine activities may become difficult.

No. It cannot be reversed. However, its progression can be halted.

Most patients undergoing Crosslinking (C3R or CXL) will usually develop stable keratoconus which should not progress in the normal course of events

Keratoconus cannot go away on its own. However, in the patients above 35-40 years of age, it may stabilize on its own

Yes, it does.

Laser surgery doesn’t correct keratoconus. Crosslinking (C3R or CXL) halts keratoconus progression. However, we can perform a limited PRK along with C3R to improve vision to the best extent possible as well as stabilize the disease process

Every child should undergo a comprehensive vision test around 3-4 years of age to ensure that both eyes are healthy, well-coordinated, and have a good vision. If there is a family history of keratoconus, then the parents should ensure that the child undergoes a specific eye exam around 8-9 years of age.

In any surgery, there is always a small risk involved. Likewise, in keratoconus corneal transplantation also, the complications are rare. The most common complication associated with it includes rejection of the corneal graft. Infection, glaucoma and astigmatism are some of the other complications involved with keratoconus corneal transplantation.

While there’s no permanent cure for keratoconus, its progression can be slowed or halted with treatments like corneal cross-linking and customised lenses.

Yes, with the proper treatment and management, many people with keratoconus can maintain a good quality of life and carry out daily activities without significant limitations.

The exact cause is unknown, but genetic factors, eye rubbing, and certain medical conditions are believed to contribute to the development of keratoconus.

The cost of keratoconus surgery can vary widely depending on the type of procedure, the severity of the condition, and the location of the treatment facility. However, Centre for Sight offers flexible payment plans for those looking for affordable options.

Keratoconus Treatment

Keratoconus Treatment