Cornea

What is keratoconus?

Keratoconus is an unusual condition that affects the structure of the cornea (the transparent part in the front of the eye).

As this disease progresses, the cornea slowly changes from a round to a conical shape. The eye protrudes and this causes vision problems. Generally, it affects both eyes, although the degree of progression may differ between them.

The thinning and deformation of the cornea cause a sudden increase in astigmatism, which cannot be treated with glasses because of its irregular condition. In this case, treatment can be carried out by fitting rigid contact lenses, specially designed for this condition, as a transitional but not definitive solution. Some patients also develop photophobia or light sensitivity.

In the initial stages of this condition, symptoms are mild but progressive. Visual acuity worsens and night vision problems occur.

Comparison between a healthy eye and an eye with keratoconus
Clinical management

Treatment

For young patients with progressive keratoconus, a procedure called crosslinking (CXL) is recommended.

This treatment helps stabilize keratoconus but does not significantly improve astigmatism, which is why it is often combined with implanting rings or intracorneal segments. This surgical technique can be performed through traditional surgery or with the Intralase laser. In advanced cases, when the cornea is very thin or scarred, a corneal transplant may be necessary.

At Clínica 20/20 we use this second technique for all cases that require the implantation of intrastromal segments. The laser creates a tunnel or channel in the cornea to introduce the rings, allowing greater accuracy and safety during the procedure.

By implanting these segments or rings, we aim to correct the corneal irregularity caused by keratoconus, stabilize its progression, and improve the patient's vision.

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