Keratoconus is a disease where the cornea becomes thinner than normal, and subsequently starts bulging forwards. This causes a blurring of visual images and is a known progressive condition. It is a disease of youngsters, starts in the second decade and is commoner with childhood eye allergy and rubbing habit. It causes frequent change of glasses with increase in cylindrical power. Keratoconus is treated in earlier stage with semi-soft contact lenses, but such lenses would not slow the disease process. Now, there are a lot of advances in keratoconus treatment. One of the recent treatments is Corneal Collagen Cross-linking with Riboflavin )C3R(, which is a procedure that aims to stabilize a keratoconic cornea. Kerarings are implantable rings inserted into the cornea to flatten the corneal cone, and thus, also helps to improve vision of the patient. We can even put special Implantable contact lenses called Toric ICL to improve vision further in these cases.
For advanced Keratoconus, we can perform Deep LamellarKeratoplasty or Penetrating Keratoplasty. (CornealGrafting)Lasik cannot be done in Keratoconu
These are diseases of innermost layer of cornea, which can require corneal grafting for visual improvement.