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Keratoconus - Kleiman Evangelista Eye Center

Keratoconus is a condition in which the normal dome-shaped cornea becomes progressively thinner and bulges forward. It is usually associated with increasing astigmatism and decreased vision. Keratoconus is very commonly found in but not limited to the Hispanic population. Both eyes are usually affected, although rarely do they progress equally. In the early stages, keratoconus may be difficult to detect, as the condition develops slowly. Typically it first presents itself when an individual is in his or her twenties or thirties.

The cause of keratoconus is unknown, but it is believed to be associated with eye rubbing and certain hereditary disorders. Individuals notice a gradual increase in glare and light sensitivity followed by a subsequent decline in one's best corrected vision. Individuals attain visual benefits from rigid, gas-permeable contact lenses or hybrid hard/soft contact lenses. However, over time, these vision correction measures often become less tolerable. INTACs or corneal inserts allow for strengthening of the cornea and the curtailing of further changes associated with cornea thinning and increasing astigmatism. Secondarily, there is some improvement in myopia and astigmatism. Soft contact lenses are commonly and more easily used after the INTACs procedure. In advanced cases of keratoconus, a cornea transplant may be necessary.

Medication eye drops or artificial tears provide relief from irritation and inflammation, thereby reducing one’s tendency for eye rubbing. However, INTACs surgery currently provides the best means for prevention of further declines in vision and the need for corneal transplantation. Please contact us at Kleiman|Evangelista Eye Center to learn more about the INTACs procedure.