The Latest in Keratoconus Treatment - Summary - MDSpire

The Latest in Keratoconus Treatment

  • By

  • Kenneth Beckman, MD, FACS

  • June 1, 2025

  • 7 min

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Objective:

To summarize recent advancements in the treatment of keratoconus, focusing on management strategies that limit disease progression and optimize vision, particularly through early intervention.

Key Findings:
  • Corneal crosslinking can slow or halt keratoconus progression, significantly reducing the need for transplants.
  • Scleral lenses provide significant visual rehabilitation for many patients, although some may still struggle with fit.
  • New surgical techniques (CAIRS and CTAK) offer less invasive options for reshaping the cornea, which may improve patient quality of life.
Interpretation:

Early diagnosis and treatment of keratoconus are crucial to prevent progression and improve patient outcomes, highlighting a shift towards proactive management rather than reactive transplantation.

Limitations:
  • Epi-off crosslinking can cause discomfort and delayed healing, impacting patient adherence to treatment.
  • Not all patients achieve vision improvement post-crosslinking, necessitating alternative solutions.
  • Some patients may still be unable to wear contact lenses despite treatment, limiting their options.
Conclusion:

Keratoconus management has evolved significantly, allowing patients to avoid transplantation through early intervention and innovative treatments, underscoring the need for continued research.

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