Rapidly Progressive Keratoconus in a Stable Scleral Lens Fit
A case report showcases successful scleral lens fitting amid rapid keratoconus progression in an older patient, emphasizing the need for continuous assessment.
By
Andrew Kemp, OD
October 1, 2025
Clinical Scorecard: Rapidly Progressive Keratoconus in a Stable Scleral Lens Fit
At a Glance
Category Detail
Condition Keratoconus Key Mechanisms Progressive corneal disease characterized by central steepening and ectasia. Target Population Older patients with keratoconus. Care Setting Optometry clinic.
Key Highlights
Successful scleral lens fitting despite rapid keratoconus progression. Significant steepening of cornea observed over 6 months. Patient reported improved comfort with new scleral lenses. Guideline-Based Recommendations
Diagnosis
Regular follow-up and assessment of keratometry values. Management
Consider scleral lens fitting for comfort and vision correction. Discuss corneal crosslinking as a potential intervention. Monitoring & Follow-up
Monitor for changes in corneal steepening and visual acuity. Risks
Rapid progression of keratoconus may occur even in older patients. Patient & Prescribing Data
Hispanic female, 35 years old, with a history of keratoconus.
InSight Scleral lenses with a sagittal depth of 4,500 µm provided satisfactory fit.
Clinical Best Practices
Follow patients regularly to assess keratoconus progression. Educate patients on the potential for rapid progression and treatment options. References
