The Latest in Keratoconus Treatment - Scorecard - MDSpire

The Latest in Keratoconus Treatment

While corneal transplantation allows for excellent vision, it also exposes the keratoconus patient to significant risks. Recent innovations in keratoconus management have developed to greatly improve quality of life for these patients.

  • By

  • Kenneth Beckman, MD, FACS

  • June 1, 2025

  • 7 min

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Clinical Scorecard: The Latest in Keratoconus Treatment

At a Glance

CategoryDetail
ConditionKeratoconus
Key MechanismsProgressive degenerative disease of the cornea leading to steepening, thinning, and irregular astigmatism.
Target PopulationTypically presents in the second or third decade of life; prevalence estimated at 1:2000.
Care SettingOptometry and ophthalmology clinics.

Key Highlights

  • Corneal crosslinking is the gold standard for limiting progression.
  • Scleral lenses have improved vision correction for keratoconus patients.
  • Early treatment is crucial to prevent progression and optimize vision.
  • New surgical techniques like CAIRS and CTAK offer less invasive options.
  • Epi-on crosslinking is under investigation to reduce complications.

Guideline-Based Recommendations

Diagnosis

  • Early identification of keratoconus by optometrists and ophthalmologists.

Management

  • Corneal crosslinking to halt progression.
  • Use of scleral lenses for vision correction.

Monitoring & Follow-up

  • Regular follow-ups to assess corneal shape and vision.

Risks

  • Corneal transplantation carries significant risks; crosslinking may not improve vision.

Patient & Prescribing Data

Patients with keratoconus, particularly those in early stages.

Combination of crosslinking and scleral lenses can significantly improve quality of life.

Clinical Best Practices

  • Initiate treatment early to prevent progression.
  • Consider scleral lenses for patients with irregular corneas.
  • Evaluate new surgical techniques for patients unable to wear contact lenses.

References

Original Source(s)

The Latest in Keratoconus Treatment

  • by Kenneth Beckman, MD, FACS

  • June 1, 2025

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