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Keratoconus
I am 27yr old female and I have been diagnosed with Keratoconus in left eye Yesterday.
Doctor is advising me to go for Left eye smile assisted CXL under GVP followed by wearing Hybrid/scleral lenses after surgery.I had Lasik for both my eyes(eye power for both eye wear above 9 sph before lasik) in yr 2014 and after 1 yr from lasik doctor realised that I have eye power of Right: Sph -1.75 and left: sph -1.50 ,cyl -1.25 with 6/6 vision in both eyes and I started wearing specs again.
However, the power kept on increasing in both eyes in these 5 years and now has reached to
Right: sph -3.00, cyl -0.50 and left: sph -3.50 ,cyl -1.75.
I was advised to do regular Pentacam test and the latest report confirmed disease.
I have attached my latest pentacam report.
My question is that whether my condition will keep on increasing or will it become stable and whether should i go ahead with doc advised surgery followed by wearing lens?i already have extreme dryness and so will i be able to wear lens?
Answers (3)
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Hello,
In your pentacam reports ant elevation, post elevations looks fine...Corneal thickness map shows central thinning. This is in favour of post LASIK ectasia. Doesn't look like keratoconus to me.
C3r is a good treatment option to prevent further thinning. Later u vil need contact lenses to correct the vision after the cornea is stabilised. Intacs is also an option if dry eyes is a major concern.
Please consult a cornea surgeon to help u further.
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Hello
A. These are not pentacam reports.these are just corneal Topography reports.
B. As LASIK is already done, in my opinion,this is post LASIK ectasia rather than keratoconus
C. Corneal thickness is not mentioned here.i don't recommend smile in this condition.
D. Kindly share pentacam reports and your case file so that I may guide you better
Regards
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Yes if it is progressive then you must get the cxl done .to be on the safer side get a second opinion with detailed physical examination fro a cornea specialist.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.