Eye problems~~~~~
Hello Doctor: I was diagnosed with astigmatism at over 200 degrees when I was 20 years old, which progressed to over 400 degrees four years later.
Now at 27, it has reached nearly 600 degrees, and I have been diagnosed with keratoconus.
I would like to ask the doctor: 1.
How can I prevent and take care of my eyes to avoid worsening astigmatism? 2.
Will I eventually lose my vision? 3.
Will I ultimately need a corneal transplant, or is it only a partial transplant?
23, 20~29 year old female. Ask Date: 2014/08/21
Dr. Zhuang Yamin reply Ophthalmology
Hello: The primary treatment for keratoconus involves wearing rigid gas permeable contact lenses, which not only improve vision but also help prevent further corneal protrusion.
Additionally, some literature suggests that taking "fish oil" may enhance corneal strength and assist in managing the condition.
If the cornea continues to protrude, vision may deteriorate further, but it is rare for it to reach a point where vision is completely lost.
Whether a corneal transplant becomes necessary depends on the initial diagnosis and subsequent management.
Fortunately, the outcomes after corneal transplantation are generally very good, and some patients can even achieve a corrected vision of 20/20! Please make sure to cooperate with your physician, attend regular follow-up appointments, and consistently wear rigid gas permeable contact lenses for management.
Changhua Hospital cares about you~~
Reply Date: 2014/08/21
More Info
Keratoconus is a progressive eye condition that affects the shape of the cornea, leading to distorted vision. As you have been diagnosed with keratoconus, it is essential to understand how to manage the condition effectively and take steps to prevent further deterioration of your eyesight. Here are some tips for eye care and prevention, along with answers to your specific questions.
1. Eye Care and Prevention Strategies
Regular Eye Exams: It is crucial to have regular check-ups with an eye care professional who specializes in keratoconus. They can monitor the progression of the condition and adjust your treatment plan as necessary.
Proper Contact Lens Use: If you wear contact lenses, ensure they are fitted correctly. Rigid gas permeable (RGP) lenses are often recommended for keratoconus patients as they can help reshape the cornea and improve vision. Avoid wearing lenses for extended periods, and always follow the cleaning and care instructions provided by your eye care provider.
Avoid Eye Rubbing: Rubbing your eyes can exacerbate keratoconus. If you feel the urge to rub your eyes due to irritation or discomfort, try to find alternative ways to relieve the sensation, such as using lubricating eye drops.
Protect Your Eyes: Wear sunglasses that block UV rays when outdoors. UV exposure can worsen keratoconus, so protecting your eyes from sunlight is essential.
Stay Hydrated and Maintain a Healthy Diet: A well-balanced diet rich in vitamins A, C, and E, along with omega-3 fatty acids, can support overall eye health. Staying hydrated is also important for maintaining the health of your eyes.
Consider Corneal Cross-Linking: This is a minimally invasive procedure that strengthens the corneal tissue and can halt the progression of keratoconus. Discuss this option with your eye care specialist to see if it is suitable for you.
2. Will You Eventually Lose Your Vision?
While keratoconus can lead to significant vision impairment if left untreated, many patients do not go completely blind. With appropriate management, including the use of specialized contact lenses, corneal cross-linking, or other treatments, you can maintain functional vision. However, it is essential to adhere to your eye care regimen and attend regular check-ups to monitor the condition.
3. Will You Need a Corneal Transplant?
Not all patients with keratoconus will require a corneal transplant. The need for a transplant typically arises when the cornea becomes too thin or irregularly shaped for contact lenses to provide adequate vision correction. If your keratoconus progresses to a severe stage, a corneal transplant may be necessary. However, many patients can manage their condition effectively with non-surgical options for years.
Conclusion
In summary, managing keratoconus involves a combination of regular eye care, proper lens use, and protective measures. While the condition can progress, many patients maintain good vision with appropriate treatment. It is crucial to stay informed about your condition and work closely with your eye care provider to develop a personalized management plan. By taking proactive steps, you can help prevent further deterioration of your eyesight and maintain a good quality of life.
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