Diseases and Treatments

Keratoconus
Keratoconus
The transparent corneal layer located at the front of the eye is a spherical and dome-shaped structure. Keratoconus occurs when the corneal layer becomes thinner and deformed, taking on a conical shape.

This condition can be inherited genetically or may result from excessive ovalization of the eye. Severe allergy during childhood leading to excessive eye rubbing can also cause keratoconus.

Deformation occurring in the cornea can progress over time, so it is important to start treatment in the early stages of the disease. Keratoconus leads to high myopia, high and irregular astigmatism, and decreased vision.

When there is suspicion of the disease, diagnosis can be made through corneal topography, corneal tomography, keratometry, and corneal thickness (pachymetry) tests.

Treatment of Keratoconus

Glasses and/or Contact Lenses

In the initial stages of the disease, visual acuity can generally be corrected with glasses or contact lenses. While hard contact lenses were used exclusively in the past, nowadays, special soft lenses designed for keratoconus are also available.
Healthy Cornea
Keratoconus

Corneal Crosslinking - CXL Treatment (Keratoconus Stopping Treatment)

During the progressive stage of keratoconus, Corneal Collagen Crosslinking (CXL) treatment, which strengthens corneal crosslinks with UV-A + Riboflavin application, is a relatively successful new treatment method in stopping the progression of the disease.

Patients whose condition is controlled with CXL treatment can undergo vision correction surgery with laser if the corneal tissue thickness is suitable. Unfortunately, only a few patients meet these criteria.

Corneal Ring Insertion

In some cases, it reduces irregular astigmatism and lowers the prescription for glasses.

Keratoplasty (Corneal Transplantation)

In advanced stages of keratoconus that are not treated in the early stages and if permanent damage has occurred in the center of the cornea, other treatment methods such as corneal transplantation are resorted to. Since the cornea is a non-vascular tissue, it has the lowest risk of tissue rejection among organ transplants.

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