How is keratoconus treated? In keratoconus the cornea bulges, thins and warps, losing its natural shape and becoming more like a rugby ball in shape than a soccer ball. Presented at: European Society of … A: Keratoconus is an eye condition where the clear front surface of the eye, the cornea, gets thin and bulges outward into a cone shape. These patients often require piggyback lenses, specialty keratoconus designs or surgical excision of the nodule. Keratoconus treatment options include: Corneal Collagen Crosslinking (CXL) Corneal collagen crosslinking (CXL) is a relatively new procedure to treat keratoconus. Intacs is the trademark name for micro-thin prescription inserts which were previously used as a form of refractive surgery in the treatment of low levels of myopia or nearsightedness, but has recently received FDA approval for keratoconus. The strength and stability of the cornea are increased with cross-linking. Short term Alcon Phaco Training (Sclerocorneal and clear corneal with foldable lenses) This cone shape deflects light as it enters the eye on its way to the light-sensitive retina, causing distorted vision.. Keratoconus can occur in one or both eyes and often begins during a person's teens or early 20s. In 2016, however, the FDA approved cross-linking surgery as a treatment for keratoconus and recommended that a registry system should be set-up to evaluate the long-term treatment effect. Thankfully, however, most cases of keratoconus can be successfully managed. Video: Keratoconus Scleral contact lenses cover the white part of the eye and arch over the cornea. We understand how Keratoconus can make your life miserable. The Video Journal of Cataract, Refractive and Glaucoma Surgery (VJCRGS) represents a lifelong mission of renowned ophthalmic surgeon and educator, Robert H. Osher, MD, to advance knowledge and surgical training of eye surgeons. Results: No intraoperative complications occurred. Presented at: European Society of Cataract and Refractive Surgeons meeting; Oct. 2-4, 2020 (virtual meeting). ional case series, Intacs segments were implanted in 10 keratoconic eyes with clear central corneas and contact lens intolerance after corneal pachymetry was checked. Surgical Options for Keratoconus The CLEI Center for Keratoconus was created in 2002 as a center of excellence dedicated to the care of the keratoconus patient. In keratoconus, the cornea becomes very thin and bulges outward forming a cone shape. View Video. However, as the cornea becomes increasingly irregular, eyeglasses are less effective at correcting vision. “We hope that nobody will need a penetrating keratoplasty or a DALK in the future due to the fact that if we catch these patients early enough in their early teens, their late teens, before they have significant progression of their keratoconus, that we could potentially prevent the need for a penetrating keratoplasty,” Davidson said. This usually begins in the teens or early 20s, but can affect children as young as 8 years old or people in their 50s and 60s. Dr. Randleman recalls a patient with keratoconus like James who he cared for 15 years ago. About Keratoconus. Eye refraction. The Hallmark characteristic is the development of a localized, cone shaped ectasia (bulge), that is accompanied by thinning of the cornea in the area of the cone. These segments are designed to reshape the front surface of the eye, thus correcting refractive errors caused by keratoconus. We care! 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