Keratoconus

Dr Luke Northey

Cataract, Cornea, Glaucoma Surgeon and Comprehensive Ophthalmologist

Keratoconus treatment
Keratoconus treatment

Keratoconus is a condition resulting in progressive thinning and distortion of the cornea (the clear window at the front of the eye).

What is keratoconus?

The changing shape of the cornea can produce blurred vision with haloes around lights, ghosting or shadowing or images, and sensitivity to light. Keratoconus is frequently associated with eye rubbing and often seen in patients with a history of allergy and eye itch. The condition is often identified by your optometrist if they note a frequently changing glasses prescription; or find it difficult to obtain an accurate glasses prescription for you.

How is keratoconus managed?

Treatment aims to stabilise the disease and improve vision. It is important to cease eye rubbing and seek treatment for any eye allergy and dry eye disease. If keratoconus is worsening a procedure called corneal crosslinking may be performed to strengthen the cornea. Vision may be improved through appropriate glasses, specialty contact lenses, and in some circumstance’s laser vision correction. Rarely, surgery may be required to replace the cornea in the form of a corneal transplant.

Further information on the condition can be accessed via
Keratoconus Australia’s website  

Surgery for keratoconus

  Corneal crosslinking

This is a day procedure performed to strengthen the cornea and reduce the risk of keratoconus progressing.

Surgery involves application of vitamin B (riboflavin) in combination with ultraviolet A light to the cornea. The vitamin B and ultraviolet light react to form new bonds between collagen fibres in the cornea. A contact lens is placed over the eye after surgery to improve comfort whilst the cornea heals.

  Corneal transplant

This surgery involves replacing all or part of the cornea with a human donor’s cornea.

The surgery may be performed as a day procedure under local or general anaesthetic in combination with sedative medications. The portion of the cornea impacted by keratoconus is removed and the donor cornea is stitched in position.

Dr Luke Northey

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