Confirm the Diagnosis of Keratoconus



Submitted by Rizvi on Thu, 06/13/2019 - 19:53
Did you perform any surgery for the eyes?
Do you suffer from pre-existing illnesses in the eye?
Do you suffer from any diseases in the body?
Do you use any eye drops?
Do you wear Contact lenses or Eyeglasses?

Cylindrical with left eye 1

Right Eye 0.75




Dear Sir/Madam, 

Recently conducted my Topography and here are the reports attached, I want to confirm the diagnosis and what further steps need to be taken? there are no as such symptoms, the eyesight number is Cylindrical with left eye as 1 and right as 0.75 and it is stable for about 9 years. 

I want to confirm the diagnosis of my topographic reports, it is said that its keratoconus, I am 24 and there is no as such symptoms. Can you guide in this regard?

Topographic images are attached here with.






Thanks for your Question

According to the corneal pentacam images that you uploaded, you have what is called Forme fruste keratoconus or subclinical or suspected keratoconus. Corneal pentacam shows suspicious findings but the patient does not present with any clinical signs or symptoms of Keratoconus.

You have two options either you go with corneal cross linking to prevent your condition from getting worse or you can wait with regular follow up, for example every 6 month with new corneal pentacam with every visit.

In case there are changes in corneal pentacam, you should go with corneal cross linking. In case your condition is stable just follow up.

patients with Forme Fruste Keratoconus are not good candidate for lasik eye surgery. They can do Photorefractive keratectomy with or without corneal cross linking.



Right Corneal Pentacam-1
Right Corneal Pentacam-2
Left Corneal Pentacam-1
Left Corneal Pentacam-2