Rapidly Progressive Keratoconus in a Stable Scleral Lens Fit - Takeaways - MDSpire

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

  • 3 min

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  • 1

    Keratoconus is a progressive corneal disease characterized by central steepening and ectasia, with unclear progression and definition.

  • 2

    A 35-year-old Hispanic female experienced rapid keratoconus progression despite successful scleral lens fitting and improved comfort.

  • 3

    Over 6 months, keratometry values for the left eye increased significantly, indicating rapid corneal steepening.

  • 4

    Despite the steepening, the sagittal depth of the cornea remained stable, demonstrating independence from keratometry values.

  • 5

    Regular follow-up is essential for keratoconus patients to assess progression and consider timely interventions like crosslinking.

Original Source(s)

Rapidly Progressive Keratoconus in a Stable Scleral Lens Fit

  • by Andrew Kemp, OD

  • October 1, 2025

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