Management Approaches for Keratoconus: Insights from a National Survey of Corneal Specialists in Saudi Arabia
By
Saud AlJohani
Ahmed Y. Al Othman
Abdulmajeed Al Khathami
Abdulaziz Alshehri
November 28, 2025
Clinical Scorecard: Management Approaches for Keratoconus: Insights from a National Survey of Corneal Specialists in Saudi Arabia
At a Glance
Category Detail
Condition Keratoconus Key Mechanisms Progressive ectatic corneal disorder leading to thinning, protrusion, irregular astigmatism, and visual distortion. Target Population Individuals with keratoconus, primarily adolescents and young adults. Care Setting Ophthalmology clinics and tertiary care centers.
Key Highlights
Keratoconus is characterized by corneal thinning and irregular astigmatism. Corneal cross-linking (CXL) has transformed management by halting disease progression. Access to advanced diagnostic tools is variable across Saudi Arabia. A significant burden of keratoconus exists, particularly in southern regions. Deep anterior lamellar keratoplasty (DALK) is preferred over penetrating keratoplasty (PK). Guideline-Based Recommendations
Diagnosis
Utilize advanced diagnostic technologies such as Scheimpflug imaging and AS-OCT. Management
Consider corneal cross-linking for stabilization of keratoconus. Monitoring & Follow-up
Regular follow-up to assess disease progression and treatment efficacy. Risks
Potential for advanced disease leading to corneal transplantation. Patient & Prescribing Data
Patients with varying stages of keratoconus, including early and moderate cases.
Newer contact lens designs and surgical options are available for advanced cases.
Clinical Best Practices
Implement standardized diagnostic criteria for keratoconus. Promote co-management between optometrists and ophthalmologists. Encourage access to modern diagnostic and therapeutic tools. References
