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Cone-shaped cornea

Keratoconus

The cornea gradually becomes thinner and bulges forward like a cone. This causes blurred and distorted vision that glasses cannot always correct.

Typically startsTeens to age 30ProgressionOften until age 30–40Most importantDo not rub your eyes
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Book an appointment if your glasses prescription changes quickly or your vision becomes distorted.

What is keratoconus?

The cornea is the clear front window of the eye. In keratoconus its structure weakens, so it becomes thinner and changes shape from a round dome to a cone. The disease usually affects both eyes, though often to different degrees, and typically progresses from the teenage years until it stabilises around the age of 30–40.

Keratoconus seen from the side. The cornea is thinner and bulges forward like a cone instead of having an even, round shape.

Symptoms

  • Blurred and distorted vision at all distances
  • Frequent changes of glasses prescription and increasing astigmatism
  • Sensitivity to light, glare and double outlines around lights

Who gets keratoconus?

  • Young people, often with allergies, asthma or eczema
  • People who rub their eyes a lot
  • Keratoconus in the family

Do not rub your eyes

Rubbing is one of the most important factors in keratoconus getting worse. Treat itching and allergy instead of rubbing.

Examination and treatment

The diagnosis is made by measuring the shape and thickness of the cornea. Treatment depends on how advanced the disease is:

  • Glasses or soft lenses in the early stages
  • Specially fitted rigid or scleral contact lenses when glasses do not give good enough vision
  • Cross-linking, in which the cornea is strengthened with vitamin B2 drops and UV light to stop progression. Done at a specialist department
  • Corneal transplant in rare, advanced cases

It is important to monitor progression with regular measurements, so cross-linking can be given in time.

This text is general information and does not replace an examination. If you are unsure about your symptoms, call us.