Common "Keratoconus" queries answered by top doctors | iCliniq


Keratoconus refers to the alterations in the shape of the corneal layer. Normally, the cornea is a thin, dome-shaped layer covering the eyes' front surface, which gradually thins and bulges outwards into a cone shape. It usually involves both the eyes but often affects one eye more than the other. These changes in the corneal layer affect the vision and cause several problems such as blurred vision, sensitivity to light, and other eye problems. The vision problems are corrected using glasses or contact lenses in the early stages.

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I have vertigo, headaches and a pressure-feeling in my head. Is it a brain tumor?

Query: Hi doctor, For three years, I have been having vertigo and unsteadiness symptoms. I went to see different doctors and ENT specialists who ran many tests and did not find anything, they put this on account of stress and anxiety. I kept having periodical moments where my vertigo and unsteadiness is h...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I would like to know some further details about headache and other symptoms: 1) Since when you started to have these headaches? How many years? Did it start only six years ago or used to occur before also? 2) In which part of the head you feel headaches? (You can a...  Read Full »

Unable to read fourth line during eye test. Why?

Query: Hello doctor, I have done my eye test. During the test, I cannot read the fourth line of letters even with the lenses they provide. All the lenses I have tried. Is it serious? What is the problem? I am very tensed.  Read Full »

Dr. Magalage Thilanka Kashyapa Perera

Answer: Hello, Welcome to In order to answer you, I need little more details. Have you been using glasses? Are you unable to read the fourth line with both of your eyes or only from one eye? What is the correction you were given for 6/18 line, I mean the prescription of glasses? How did you n...  Read Full »

My son has cylindrical vision. How should I take care?

Query: Hi doctor, My son is 4.5 years old. He is having a cylindrical vision with -2.75 power on both the eyes. What care and precaution do I need to take?  Read Full »

Dr. Asif Manzoor

Answer: Hi, Welcome to Keep regular follow ups with your optometrist and eye doctor for repeated refraction for every 3 to 6 months. His refraction will keep on changing till 20 to 25 years of age as the eye grows and the shape of the cornea keeps changing. The main thing is avoiding amblyopia...  Read Full »

I would like to know the best treatment for advanced keratoconus.

Query: Hello doctor, I would like to know the best treatment for advanced keratoconus after using scleral lenses as well. Will there be a condition, where I do not have to use lenses like ever? Please help.  Read Full »

Dr. Manjunath Natarajan

Answer: Hello, Welcome to I understand your concern. There are a number of different treatments for keratoconus based on the corneal topographical measures and your visual needs. The best to halt progression is corneal collagen cross-linking (C3R). This procedure causes the development of a ...  Read Full »

My son has poor vision. Does he need glasses?

Query: Hello doctor, My 5-year-old son has poor vision -2.0. He improves his eyesight by doing eye exercises himself. Should he wear eyeglasses?  Read Full »

Dr. Shikha Gupta

Answer: Hello, Welcome to I do not know whether you have got his cycloplegic refraction or not. Is this just auto refractometer finding or final refractive power? Anyways, I will suggest you get a repeat cycloplegic refraction done at a good center by an optometrist who is experienced. Second...  Read Full »

As I have keratoconus in my right eye, can I go for C3R?

Query: Hi doctor, Recently, I was diagnosed with keratoconus. I did not use any spectacle. I used to see little blur mostly in the evening. My left eye is normal, but my right eye is most affected. I have attached one file. Please go through the file for the reference of my eye standards. Six months ago, I...  Read Full »

Dr. Anand Yattinamani

Answer: Hi, Welcome to I have gone through the records that you have sent (attachment removed to protect patient identity). First thing is that you need to confirm the diagnosis of keratoconus. From your explanation, I feel you do not have keratoconus. Please describe what problems you have a...  Read Full »

What do my eye reports tell and what can be the treatment?

Query: Hello doctor,I want to discuss my reports with the ophthalmologist. I have uploaded all the copies.  Read Full »

Dr. Rahul Vaswani

Answer: Hello, Welcome to I have seen all the attachments (attachment removed to protect the patient's identity). The third picture has not been uploaded completely but from the first two pictures all that I can make out are, in the left eye, you have frank keratoconus with both keratometry a...  Read Full »

I suffer from high astigmatism. Can I undergo LASIK?

Query: Hello doctor, I have -2.5 cylindrical in the right and -4 in the left eye and SPH is 4.75 in the right and 5 in the left eye. Can I go for LASIK? Will it be successful as I have high astigmatism?  Read Full »

Dr. Asif Manzoor

Answer: Hi, Welcome to The most important thing is to rule out keratoconus. Many corneal scan machines have special softwares to rule out KC.With the information you sent in the photos (attachment removed to protect patient identity); I can see one suspicious thing that is Kmax 47.3. We need...  Read Full »

Are ghosting and double vision signs of keratoconus?

Query: Hello doctor,I am a 29-year-old male. Recently I had a change in my cylindrical power from -0.75 D (right) and -1 D (left) to -1.25 D in both eyes. I am myopic, and my spherical power has remained the same for a long. However, I noticed ghosting, and double vision, especially during low light and co...  Read Full »

Dr. Sheikh Zubair Abdul Razzak

Answer: Hello, Welcome to I read your query and understand your concern. I have seen your reports (attachments removed to protect the patients identity) on the axial length and the corneal topography pachymetry. If increasing the cylindrical power helps reduce the ghost images, then you can ...  Read Full »

Is surgery needed for my friend diagnosed with keratoconus?

Query: Hello doctor, My friend visited an ophthalmologist for itchy eyes and slightly blurry vision. She has been diagnosed with keratoconus and acute allergic conjunctivitis in both eyes. I have attached the reports and the scans. The doctor has recommended a surgical procedure for the keratoconus. I wish...  Read Full »

Dr. Asha Juliet Barboza

Answer: Hello, Welcome to I read your query and can understand your concern. I looked at her corneal topography report (attachments removed to protect the patient's identity). Certain factors need to be considered in her case. But please note that as I have not examined her on the slit lamp b...  Read Full »

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