Q. Is surgery necessary for keratoconus?

Hello,

Welcome to icliniq.com.

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 biomicroscope, I can only give you feedback based on her history and the scans you sent.

1. If she has keratoconus, it tends to stop progressing around 35 yrs of age.

2. Her pachymetry (corneal thickness) is 500 micrometer plus in both eyes. We might recommend surgery if it is below this level.

3. Her keratometry in the right eye is above 50 mm, which might make us suspect keratoconus. Her left eye is below that range.

4. I recommend surgery only if there is a progression of astigmatism. Ideally, I would call my patient for a follow-up every three to six months and evaluate if there is any drastic change in her power.

5. She has a history of allergic conjunctivitis. Usually, these patients rub their eyes frequently, which can cause warping of the cornea, hence astigmatism. So, she needs to stop doing that.

My recommendation would be to wait. Then, let her repeat the scan after six months.

My questions are, has her power changed in the last six months, and is her allergic conjunctivitis under control?

Awaiting your reply.

Thank you and take care.

Hello,

Welcome back to icliniq.com.

I read your query and can understand your concern.

She will likely have to continue using Olopatadine eye drops indefinitely as it is a preventive measure for allergic conjunctivitis. As I said, unless I examine the status of the cornea, I cannot confirm for sure. But let her get re-examined after six months.

I hope this helps.

Thank you and take care.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Asha Juliet Barboza

Experience: 26 + Yrs

Ophthalmology (Eye Care)

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