Which Eye Specialty Should You Choose for Keratoconus Diagnosis? - Ophthalmology

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Which department should be consulted for keratoconus?


I would like to ask the doctor, if a general ophthalmology clinic has detected a suspected case of keratoconus, and I want to seek further confirmation at a larger hospital, which department would be more appropriate to visit? Should I go to the Cornea Department or the Retina Department? Thank you!

Niming, 20~29 year old female. Ask Date: 2015/07/03

Dr. Gao Pilin reply Ophthalmology


Hello: For keratoconus, please consult with the cornea specialist.
Thank you for your message.

Reply Date: 2015/07/03

More Info


When considering a diagnosis for keratoconus, it is essential to choose the right specialty within ophthalmology to ensure accurate assessment and management. Keratoconus is a progressive eye disease characterized by the thinning and bulging of the cornea, leading to visual distortion. Given its specific nature, the most appropriate specialty to consult would be the Cornea and External Disease department, often referred to simply as the Cornea department.

The Cornea department specializes in conditions affecting the cornea, including keratoconus, corneal dystrophies, and other external eye diseases. Ophthalmologists in this specialty are trained to perform advanced diagnostic tests, such as corneal topography, which maps the curvature of the cornea and can reveal the characteristic changes associated with keratoconus. This test is crucial for diagnosing the condition, as it provides detailed information about the shape and thickness of the cornea, which is not typically assessed in standard eye exams.

In contrast, the Retina department focuses on diseases affecting the retina, such as diabetic retinopathy, macular degeneration, and retinal detachments. While these conditions are critical to eye health, they do not directly relate to keratoconus. Therefore, seeing a retina specialist would not be appropriate for concerns specifically about corneal issues.

If you have already undergone preliminary examinations that suggest keratoconus, it is advisable to seek a referral to a Cornea specialist. They can provide a comprehensive evaluation and discuss potential treatment options, which may include rigid gas permeable contact lenses, corneal cross-linking to halt progression, or even surgical interventions like corneal transplantation in advanced cases.

Additionally, if you have concerns about the accuracy of your diagnosis or if you are experiencing significant visual disturbances, it may be beneficial to seek a second opinion from another Cornea specialist. This can provide peace of mind and ensure that you receive the most appropriate care for your condition.

In summary, for a suspected diagnosis of keratoconus, you should choose to see a Cornea specialist. They possess the expertise and tools necessary to accurately diagnose and manage this condition, ensuring that you receive the best possible care tailored to your specific needs. If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider for guidance on the next steps in your eye care journey.

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