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Doctor insights on: Is Keratoconus A Disability

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What is keratoconus?

What is keratoconus?

Keratoconus: Keratoconus is a disease of the cornea of the eye where the cornea thins and bulges outward, causing blurred vision. Crosslinking can stop the progression of the disease.

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Dr. Carol Van der Harst
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Can I cure my keratoconus?

Can I cure my keratoconus?

Yes: Keratoconus is a condition in which the cornea, or front of the eye, is very steep. Patients with keratoconus are often very near-sighted and have astigmatism. Hard contact lenses can correct for this in most cases. For corneas that are too steep or irregular for contacts or those with scarring, corneal transplantation can be done.

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How do you heal keratoconus?

How do you heal keratoconus?

Keratoconus: Crosslinking is the only procedure that stops the progression of keratoconus. Once treated, the next step is to improve vision with contact lenses. Intacs or topography-guided prk are other surgical options after cross linking.

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What to do if I have keratoconus?

What to do if I have keratoconus?

Corneal specialist: This condition is best handled by ophthalmologists that are specialists in the cornea. There have been significant improvements in treatment and stabilization of the condition. These specialists are trained in these treatments. What should you do - make an appointment with one of them.

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What are the effects of keratoconus?

What are the effects of keratoconus?

Blurry Vision: The weak corneal collagen allows the cornea to gradually take on an abnormal shape, which interferes with vision. At first this resembles ordinary astigmatism and glasses will help. As the condition progresses, the cornea becomes more irregular shape producing irregular astigmatism requiring a rgp contact lens for best vision or a corneal transplant. Crosslinking can stop progression in most cases.

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How is keratoconus typically treated?

How is keratoconus typically treated?

Corneal Crosslinking: Corneal Crosslinking is a non-surgical procedure which can halt the progression of keratoconus, and should be considered for any patients with progressive keratoconus. RGP contact lenses, Intacs, scleral contact lenses and corneal transplantation are the modalities which can be used to rehabilitate vision. We perform epithelial-on crosslinking as a first step to stabilize the condition.

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Does synergeyes work for keratoconus?

Does synergeyes work for keratoconus?

Depends on cornea: Synergeyes is a type of hybrid contact lens that can be used in keratoconus. It uses a rigid central portion affixed to a soft skirt. This maintains good vision and improves comfort. These lenses are more expensive to buy and to fit. If a good fit can be achieved, initial comfort may be better than with hard lenses, wearing time can sometimes suffer though.

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How much can keratoconus affect reading?

How much can keratoconus affect reading?

Keratoconus: Keratoconus can profoundly affect vision - both distance and reading. Please see your eye doctor - as contact lenses can help. However - a treatment to stop the progression of keratoconus -called crosslinking - is an important step.

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What makes treating keratoconus difficult?

What makes treating keratoconus difficult?

Keratoconus: Keratoconus is actually easy to treat. Once someone is diagnosed - they should have corneal collagen crosslinking to stop progression of their disease. Other treatments can be performed months to years after crosslinking to further improve their vision

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What makes keratoconus difficult to treat?

What makes keratoconus difficult to treat?

Keratoconus.: Because of the degree and extent of the "cone" and the irregular astigmatism it produces.

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What makes keratoconus get better and worse?

What makes keratoconus get better and worse?

Wish we knew: Keratoconus is a condition of the cornea (the window at the front of the eye) in which the protein molecules lose some of their adhesive strength and the cornea bulges out which in some cases impairs vision. We do not know the cause. It does spontaneously get a little better but more likely progresses. See your corneal specialist for the best management.

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How does one treat slight keratoconus with intacs?

How does one treat slight keratoconus with intacs?

Implantation: These are boomerang shaped microplastic products that are inserted surgically in the cornea to reverse the curvature and restore some visin. See a corneal specialist.

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What is the probability of developing keratoconus?

What is the probability of developing keratoconus?

Keratoconus: Keratoconus is thought to affect 1 in 1000 to 1 in 2000 patients. Thankfully, there is a simple treatment that can stop keratoconus from worsening - called corneal collagen cross linking. If you are concerned that you may have keratoconus, please see your doctor and get a corneal topography which will examine the shape of your cornea.

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What is the definition or description of: keratoconus?

What is the definition or description of: keratoconus?

Keratoconus: Keratoconus is a condition where the cornea bulges forward, leading to distorted vision. While keratoconus can start in childhood, it can also develop later in life. Eye rubbing is a known risk factor. Corneal collagen crosslinking has emerged as the first line treatment for keratoconus - as it can stop progression of the disease and often improve vision and the shape of the cornea.

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I was diagnosed with keratoconus but don't know what that is?

Keratoconus: Keratoconus affects your cornea, the clear dome-shaped window at the front of your eye. In keratoconus your cornea becomes weaker and thinner at its centre. This thinning causes it to bulge outwards in an irregular cone shape. This can make your vision blurry and distorted. N the early stages, glasses may help correct vision, but most people need contact lenses and sometimes surgery.

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My step son has been diagnosed with keratoconus. How did he get this?

My step son has been diagnosed with keratoconus. How did he get this?

Likely from birth: The cause of keratoconus is not fully understood. We do know that there are both genetic and environmental factors. People with this condition have a defect in the structural proteins which give the cornea strength. Some research indicates that allergies and eye rubbing also play a role.

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What to expect after 6 months after cross linking (cxl) for keratoconus?

What to expect after 6 months after cross linking (cxl) for keratoconus?

CXL for keratoconus: Crosslinking is a very effective treatment for keratoconus. Over the first 6 months, there is some improvement in vision and corneal shape. The improvements often continue over a few years - so the vision can improve beyond the 6 months results. I highly recommend epithelial- on (no epithelial-removal) crosslinking - as the visual recovery is much faster.

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Can you tell me is keratoconus included in the category of visual impairment?

Can you tell me is keratoconus included in the category of visual impairment?

Keratoconus: Yes - keratoconus can cause reduced quality of vision, and therefore is a cause of visual impairment. Please see your own doctor to discuss treatment options, including corneal collagen cross linking, which can stop the progression of keratoconus.

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I have keratoconus and wearing rgp lenses in a piggy back. Does the power of the soft lens affect fit or improve vision?

I have keratoconus and wearing rgp lenses in a piggy back. Does the power of the soft lens affect fit or improve vision?

Piggyback rgp kcn: The primary power is in the rgp (rigid gas permeable) that goes on top of the soft lens. The soft lens is mostly to improve comfort and fit of the overlying rgp.

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I was diagnosed with forme fruste keratoconus. Is this progressively going to deteriorate. What are the causes of this condition?

I was diagnosed with forme fruste keratoconus. Is this progressively going to deteriorate. What are the causes of this condition?

Keratoconus: At age 25 it could, ; usually one eye more than the other. I recommend you follow up with an ophthalmologist (eye surgeon/md), preferably a cornea specialist who will be checking your vision, refraction, astigmatism ; serial topographies. If you develop frank keratoconus, you should strongly consider corneal collagen cross-linking, being done per fda protocols in the us at many universities.

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Dr. Jeffrey Satinover
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Keratoconus (Definition)

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