Keratoconus is a disease of the surface of the eye. The front cover is called the cornea, and it’s like a clear window to the eye.
But the problem with Keratoconus is that actually with the front surface has the central part called the stroma; now the stroma begins to degrade over time, and it starts to then thin, so when that happens, the thinning of the frontal part front part of the eye, the cornea begins to thin and then it begins to bulge out in the same shape as the shape of a cone.
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Keratoconus Eye Vs Normal Eye Image Source- Flickr | Image by Keratomania |
Keratoconus is bilateral disease. It happens in both eyes. However, it’s most likely asymmetric,c so for most people, it’ll be more advanced in one eye than the other,r but it generally does present in both eyes.
Types of Keratoconus
Mild Keratoconus
Some people can have mild Keratoconus that’s not affecting their vision; they can usually continue with glasses or regular soft contact lenses.
Advanced Keratoconus
People who get advanced, moderate to advanced Keratoconus have significant visual issues. They have irregular astigmatism.
Astigmatism can cause distorted vision, so people with moderate and advanced levels of Keratoconus will have excessive amounts of blurred vision, which could significantly affect their visual acuity, so they may have difficulty learning in school.
Keratoconus is a progressive disease, so even if you have it mildly early on in life, it usually progresses at the earliest age.
What are the Different Stages of Keratoconus?
1. First Stage– Sudden weakening of eyesight is its first sign; at this stage, you think of it as normal and vision is corrected with glass, but if the checkup is not proper, then it becomes more and more in the future.
2. Second Stage– Blur in eyesight.
3. Third Stage– After blurring in vision, the stage comes when you cannot get a proper Image with glasses from local optical. This is when everybody goes for higher treatment and learns about their eye problem.
What are the causes of the Keratoconus?
1. It’s a kind of enzyme degradation of the corneal fibres. The collagen fibres of the cornea get degraded, and that causes them to thin and weaken.
2. Keratoconus is due to the weakening in the eye fibre named “collagen”, which is vital to hold the cornea.
3. Keratoconus runs in families, meaning if you have a Keratoconus, it might be passed on to the next generation. So it is better to have an eye checkup with your family.
Pro-tip for everybody who has Keratoconus or somebody who has terrible allergies the eyes are eye rubbing; so you’ve probably heard at some point the doctor says you don’t rub on the eye hard, and the whole idea is that when you rub a hard-on your eye, you cause kind of like these micro damages to the collagen fibres of the eye. When you cause cornea damage, those enzymes try to repair the damaged tissue, and they end up causing it to get worse.
So, people who rub their eyes badly and they have Keratoconus; may cause Keratoconus to advance even faster, so yeah, if you’ve got Keratoconus, try to do your best to stop rubbing your eye if you have bad allergies or something like that, talk to your doctor about your allergy so you can get you on oral medications or eyedrops or something that you can do to help control the itching and irritation.
What is the Treatment of Keratoconus?
1. Corneal Cross-Linking
One is going to be called corneal cross-linking(C3R), so corneal cross-linking was approved in the United States in 2016. It has been out much longer in Europe, Europe, and Canada, but it’s a process where they use riboflavin which is Vitamin b2. Then they use ultraviolet light (UV) to activate some cells on the eye’s surface and get them to strengthen.
This is a revolutionary treatment, especially for Keratoconus, because Keratoconus is a progressive disease that worsens over time. Still, with corneal cross-linking, you can stop it or at least slow it down from getting worse, so this is the first thing that comes to mind of most ophthalmologists.
Corneal cross-linking is done by a corneal specialist. This is your ophthalmologist there’s you know every state usually has a couple of them.
How does this process of corneal cross-linking work?
They put riboflavin the vitamin b2. It’s a specific mixture. It’s not just pure riboflavin. It’s a medication that’s put on the eye. Then they shine the UV light on it, which causes the collagen fibres to stiffen and strengthen, which has been just proven over the last couple of years to help people with Keratoconus.
2. Intra Corneal Ring Segments
In this, a plastic ring that’s put into the cornea and that causes the cornea to plateau out smooths out the cone of the surface of the eye, and that’s really to help reduce advancing problems with myopia or nearsightedness as well as bad astigmatism because again you’re into the moderate and severe stages of Keratoconus your astigmatism is so irregular that it causes problems with your vision. It’s challenging to get correction with glasses and contacts if inter corneal ring segments.
3. Soft and Hard Contact Lenses(RGP Lenses)
Another promising treatment for you, your surgeon, and your eye care professional will talk about that option is getting more into people who have mild Keratoconus; if you have mild or moderate Keratoconus, the standard treatment is actually with glasses and contacts.
The soft contact lens is for people with mild Keratoconus, so you can still wear soft lenses and see very well.
Another one is hard rigid gas permeable or our GP lens; our GP lenses work great because they mask a lot of the distortions of the eye’s surface from the Keratoconus; there’s a speciality kind of rigid lenses.
Best hospitals for C3R surgery in India: 2021
Hospital Name |
City/State |
Address |
Phone Number |
Spectra Eye Care Hospital |
New Delhi |
E-82-A, Greater Kailash-1, New Delhi, 110048 |
081309 29913 |
Max Hospital, Saket |
New Delhi |
Press Enclave Marg, Saket Institutional Area, Saket, New Delhi, Delhi 110017 |
011 2651 5050 |
Fortis Memorial Research Institute |
Haryana |
Sector-44, Opposite HUDA City Centre, Gurugram, 122002 |
0124 716 2200 |
BLK Super Specialty Hospital |
New Delhi |
Pusa Rd, Radha Soami Salsang, Rajendra Place, 11005 |
011 3040 3040 |
Centre For Sight Eye Institute |
New Delhi |
Plot No.9, Dwarka Sector 9, 110075 |
011 4250 4250 |
PGIMER |
Chandigarh |
Madhya Marg, Sector-12, 160012 |
0172 274 7585 |
- Narayana Super Specialty Hospital.
- Global Group of Hospital.
- Artemis Specialty Hospital.
- Apollo Spectra Hospital.
- Global Group of Hospital.
- BLK Super Specialty Hospital.
- Max Super Specialty Hospital.
- Nanavati Super Specialty Hospital.
- Jaslok Specialty Hospital.
C3R surgery cost in PGI Chandigarh: 2021
C3R Operation Kit: Rs 16000- Rs17000 per eye.
Operation Fee: Rs 300 – Rs 500 per eye.
Eye Drops: Rs 1000- Rs 1500 per eye.
Total Average Cost: Rs 20000 per eye.
C3R average cost in private hospitals in India
Average Cost: Rs 40000 – Rs 50000+ per eye.
Keratoconus: C3R surgery cost- United States
Corneal Cross-Linking Cost: $2500-$4000 per eye.
Intacs Treatment Cost: $1500- $2200 per eye.
Corneal Transplant: $12500- $13000 per eye.