Keratoconus Care Continues to Evolve

Susan Gromacki, OD, MS, FAAO, FSLS, Dipl AAO, and Clark Chang, OD, FAAO, FSLS, reviewed the latest developments in diagnosis, imaging, contact lenses, corneal cross-linking (CXL), and surgical management for KC.

By
Veronica Daub
June 17, 2026
4 min

Optometric Management

Objective:

To review the latest developments in the diagnosis, imaging, and treatment options for keratoconus.

Approach:

Key Findings:

Corneal tomography can identify keratoconus earlier than traditional methods.
Specialty contact lenses and new CXL protocols enhance patient management.
Delaying CXL can lead to irreversible corneal changes.
Surgical options remain important for advanced keratoconus cases.

Interpretation:

The management of keratoconus has significantly improved with advancements in technology and treatment options, allowing for earlier diagnosis and intervention.

Limitations:

Many patients remain undiagnosed until visual symptoms appear.
Referral to appropriate specialists is crucial for effective management.

Conclusion:

Optometrists are now better equipped to detect keratoconus early and preserve vision, with a focus on early diagnosis to prevent permanent corneal changes.