
Keratoconus is a progressive eye condition in which the cornea gradually thins and bulges outward into a cone-like shape. Because the cornea plays a critical role in focusing light, even subtle changes in its shape can cause significant visual distortion.
This condition often begins in the teenage years or early adulthood and can worsen over time if not properly managed.
Keratoconus can be difficult to recognize early because symptoms may mimic routine vision problems. Warning signs include:
Frequently changing glasses or contact lens prescriptions
Blurred or distorted vision
Increased sensitivity to light and glare
Difficulty seeing at night
Ghosting or double vision in one eye
Patients may feel frustrated when glasses no longer seem to “work” the way they used to.
A comprehensive eye exam is essential for diagnosing keratoconus. Modern optometry uses advanced diagnostic tools that map the shape and thickness of the cornea, allowing providers to detect changes even in early stages.
Early diagnosis is critical—it opens the door to treatments that can slow or stabilize progression before vision loss becomes severe.
While keratoconus cannot be reversed, it can be effectively managed. Treatment depends on severity and progression and may include:
Specialty contact lenses for improved vision
Scleral lenses to vault over irregular corneas
Corneal stabilization therapies to slow progression
Ongoing monitoring with advanced imaging
Many patients are able to achieve excellent functional vision with the right treatment plan.
When keratoconus is caught early, patients have more options and better long-term outcomes. Delayed diagnosis can lead to greater visual impairment and fewer non-surgical solutions.
Routine eye exams—especially for young patients with rapidly changing prescriptions—play a crucial role in early detection.
With modern advancements in optometry, a diagnosis of keratoconus no longer means losing independence or quality of life. Personalized care, specialty lenses, and close monitoring allow many patients to maintain active, visually demanding lifestyles.
Keratoconus is a condition that demands attention, precision, and proactive care. If vision feels unstable or prescriptions keep changing, it may be time to look beyond standard vision correction.
Clearer answers—and better vision—start with the right evaluation.
Dr. Pillai breaks down what keratoconus really is 👁️