Keratoconus causes thinning and distortion of the front
of the eye (the cornea). This results in reduced vision.
The condition is present from birth but does not affect
vision until teenage years.
Keratoconus affects approximately 1 person in every 1000.
The exact caus is uncertain, but a generic link seems
likely, as the incidence rate is greater if a family
member has been diagnosed. Often people with keratoconus
suffer from seasonal allergies and asthma, and associated
rubbing of the eyes can make the condition worse.
Diagnois of keratoconus is confirmed after symptoms of
distorted or reduced vision are linked with
characteristic findings by examination of the
cornea.
Because every person’s visual needs are different,
The Keratoconus Care Clinic aims to tailor appropriate
individual treatment to stabilise vision. Regular
monitoring using state of the art equipment is required
to ensure treatment is instigated at appropriate stages
of the condition
Glasses
Often glasses help in the early stages, but may need
changing frequently. As the condition progresses, even
with the best glasses prescription, vision may be
distorted and blurry as the lenses may vary
significantly between the two eyes.
Contact Lenses
Soft contact lenses may not improve vision adequately.
Rigid contact lenses are often a better option.
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Riboflavin and Cross-Linking
This safe new treatment stabilises vision and delays
initial progression of the condition by strengthening
the cornea. Glasses or contact lenses still need to be
worn after the procedure.
Corneal Transplant
10-25% of keratoconus cases progress to a point where
vision correction with glasses or contact lenses is no
longer possible. Today transplants that are not full
thickness are possible, which means little risk of
rejection and quicker visual recovery following
surgery.
Correction of astigmatism after penetrating keratoplasty using the Acri.Comfort toric intraocular lens
Comparison of the AcrySof SA60 spherical intraocular lens and the AcrySof Toric SN60T3 intraocular lens outcomes in patients with low amounts of corneal astigmatism
Surgeon recommends toric IOL for
patients with low corneal astigmatism
Refraction
This technique corrects vision distortion typically
caused by the irregular shaped corneal surface. Glasses
or contact lenses may be prescribed.
Non-Invasive
Corneal Topography
This technique records the degree and extent of
deformation by mapping the corneal surface and is a
benchmark for assessing progression rate.
Corneal Thickness
As keratoconus progresses the cornea thins. This
procedure quantifies the thickness of corneal tissue
and is another benchmark for monitoring progression
rate.
2nd Floor,
113 Wickham Tce,
Brisbane Q 4000
P (07) 3831
8606
1st Floor Ipswich Tower,
15 Gordon St,
Ipswich Q4305
P (07) 3202 3334
How can The Keratoconus Care Clinic benefit
me? As well as assisting in making the
diagnosis, the Clinic can monitor progression and in
conjunction with your eye health professional via regular
reports, assist you in making the best management
decision for your condition.
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What is Riboflavin and cross-linking?
This is an exciting new treatment for keratoconus that
stiffens the cornea using Vitamin B2 (Riboflavin) and
ultraviolet light (UVA 365nm) exposure. The three and
five year results of the Dresden Clinical Study using
human eyes, has shown arrest of progression of
keratoconus in all treated eyes (Wollensak G.
Crosslinking treatment of progressive keratoconus: New
Hope. Current Opinion in Opthalmology 2006; 17:
356-360)
Who can benefit from this
treatment?
Patients who are undergoing a reduction in vision are
suitable for cross-linking treatment. It aims to HALT
PROGRESSION of the condition and may delay the need for
corneal transplantation. Patients continue to wear
spectacles or contact lenses following the procedure.
However, in advanced keratoconus other treatment
alternatives may need consideration
At the Keratoconus Care Clinic we can closely
monitor changes to corneal shape and thickness which are
indicators to identifying patients who are suitable for
this treatment