Keratoconus

Keratoconus is a condition involving the thinning and eventual protrusion of the cornea, the protective outermost layer at the front of the eye, which can affect eyesight.

About Keratoconus

The cornea covers the front of your eye, protecting structures such as the lens and iris and filtering the light that enters the eye. In keratoconus, the cornea thins and forms a cone-shaped protrusion which impairs the structure’s function. The exact cause of this corneal thinning is unknown, but it is thought to be related to either collagen levels in the cornea or dysregulated regeneration of corneal cells.

Symptoms of Keratoconus

Keratoconus symptoms vary based on disease progression.

Symptoms of keratoconus may include:

  • Blurred or reduced vision
  • Difficulty seeing at night
  • Eye pain, possibly with associated headaches
  • Halos around bright lights and/or increased sensitivity to bright light

Risk Factors for Keratoconus

Keratoconus affects both sexes and all ethnicities and typically develops between the ages of 10 and 19.

Risk factors for keratoconus may include:

  • Family history: Keratoconus is thought to run in the family
  • Health history: Eczema, allergies, and asthma can all contribute to condition onset, as can frequent eye rubbing

Treating Keratoconus at UT Medicine

Keratoconus can be diagnosed by one of a number of tests performed by an ophthalmologist. The treatment plan for keratoconus varies based on the extent of damage to your cornea. In some cases, your condition will simply need to be monitored, but in other cases, a surgical procedure called corneal collagen cross-linking is recommended. You may also be given a referral for specialty contact lenses. In severe keratoconus cases, you may need to undergo corneal transplant surgery. Your ophthalmologist will work with you to determine the best course of action, and if needed, refer you to a specialist for corneal cross-linking surgery.

An older man is seated at an ophthalmology clinic, having his eyes examined with a slit lamp device. A healthcare professional is conducting the eye test in a clinical setting with neutral walls.

UT Medicine Mitchel and Shannon Wong Eye Institute