Keratoconus affects one in every 2,000 Americans. Fortunately, Eye Consultants of Pennsylvania offers a range of treatment options that can restore corneal clarity and clearer vision for patients with Keratoconus.
The experienced doctors at Eye Consultants of Pennsylvania utilize advanced technologies and treatments to monitor the progression of this relatively rare eye disease and recommend the best treatment options to help patients maintain good vision.
Our cornea specialists, Adam J. Altman, MD and Jonathan D. Primack, MD, are both board-certified and cornea fellowship-trained ophthalmologists. Fellowship training means they have undergone an advanced course of training in all aspects of corneal disease and care. A fellowship is considered the ultimate training for an ophthalmologist. It means that they can provide you with the highest standard of care.
Dr. Altman received his fellowship training at the world famous Wills Eye Hospital in Philadelphia. Dr. Primack received his fellowship training at the prestigious Massachusetts Eye and Ear Infirmary at Harvard Medical School. Both doctors have published widely in peer-reviewed medical literature and regularly deliver lectures to other physicians.
What is Keratoconus?
The cornea is normally dome-shaped, like a ball. Keratoconus occurs when the surface of the cornea weakens and bulges outward, forming a cone shape. This abnormal curvature changes the refractive power of the cornea and can lead to severe vision problems, including nearsightedness, astigmatism, and/or scarring of the cornea.
According to the National Eye Institute, Keratoconus is one of the most common corneal disorders in the United States. It is most prevalent in teenagers and young adults, it may affect both eyes, and it often runs in families.
Common symptoms of Keratoconus include a sudden change of vision in just one eye, blurred and distorted vision, and haloes around bright lights. If your eye doctor suspects Keratoconus during an eye exam, he or she will measure and analyze the shape of the cornea to determine the best course of treatment.
Treatment for Keratoconus
Mild Keratoconus may be treated with eyeglasses and/or soft contact lenses. If vision declines, many patients require gas-permeable contact lenses or other hybrid lenses. With good contact lens care, only 10% to 20% of patients need further medical or surgical intervention.
If the Keratoconus worsens over time and a contact lens cannot be fitted properly or does not adequately correct vision, corneal inserts, called Intacs, may be useful to achieve a flatter cornea. The procedure involves the placement of tiny, clear, crescent-shaped plastic polymer inserts in microscopic channels created in the cornea by a corneal surgeon.
On the horizon, collagen cross-linking with riboflavin (CXL) is a developing Keratoconus treatment that is awaiting FDA approval. It has been shown to strengthen the corneal structure by placing riboflavin eye drops onto the surface of the eye and exposing the surface to ultraviolet light. The objective is to stop the progression of Keratoconus and avoid the need for a cornea transplant.
For patients with advanced Keratoconus, corneal transplant surgery may become necessary to restore a more normal shape to the cornea. In most cases, a penetrating keratoplasty (PKP) is the preferred surgical solution, although sometimes the cornea surgeon may recommend a lamellar keratoplasty (LKP).
With some of the most accomplished cornea specialists in the state, the Eye Consultants of Pennsylvania team offers Keratoconus treatment to patients in Lancaster County, Schuylkill County and Berks County, PA. Contact us at (800) 762-7132 x 3245 to schedule an evaluation.