Keratoconus
Keratoconus is a progressive eye condition that causes the cornea to thin and take on a cone-like shape, leading to distorted vision, increased astigmatism, and difficulty with standard eyeglasses or contact lenses. As the condition advances, vision may become increasingly blurred, making daily activities more challenging.
At I Love LASIK, Dr. Samer Khosrof provides advanced keratoconus treatments, including corneal cross-linking (CXL) to strengthen the cornea and EVO ICL™ for patients seeking long-term vision correction. Early diagnosis and treatment can help manage the progression of keratoconus and preserve vision.
What is Keratoconus?
Keratoconus is a progressive eye condition that weakens the cornea—the transparent, dome-shaped surface at the front of the eye. As the corneal structure deteriorates, it thins and bulges forward into a cone-like shape, distorting how light enters the eye. This irregularity leads to blurred or distorted vision, astigmatism, increased nearsightedness, and difficulty achieving clear vision with eyeglasses or soft contact lenses. The progression of keratoconus varies from person to person, sometimes advancing rapidly and other times developing over years. Early diagnosis through a comprehensive eye exam is essential to preserving visual acuity and preventing severe
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What is Keratoconus?
American Academy of Ophthalmologists
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complications.
What Causes Keratoconus?
The exact cause of keratoconus remains unclear, but research suggests a combination of genetic and environmental factors. Many individuals diagnosed with keratoconus have a family history of the condition, with
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Keratoconus
American Optometric Association
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studies
estimating that 1 in 10 cases may be hereditary. External influences, such as frequent eye rubbing, poorly fitted contact lenses, chronic eye irritation, and underlying eye diseases, may also contribute to corneal weakening. Certain medical conditions, including asthma, Down syndrome, and retinitis pigmentosa, have been linked to a higher risk of developing keratoconus. Because the condition often begins in adolescence or early adulthood, regular eye exams are crucial for early detection and intervention.
Symptoms of Keratoconus
Keratoconus often begins in the late teenage years or early adulthood, with symptoms that gradually worsen over time. Because the cornea becomes irregularly shaped, vision can become increasingly distorted, making everyday tasks more challenging. Symptoms may vary between eyes and can include:
- Blurred or distorted vision that makes it difficult to see fine details
- Increased nearsightedness or astigmatism, leading to frequent changes in eyeglass or contact lens prescriptions
- Sensitivity to light and glare, making bright lights uncomfortable and nighttime driving difficult
- Halos or streaks of light around bright objects
- Ghost images or double vision, even when looking through one eye
- Difficulty wearing contact lenses, especially soft lenses that may no longer fit due to the cornea’s cone-like
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Keratoconus
Mayo Clinic
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shape
As keratoconus progresses, standard vision correction methods like eyeglasses or soft contact lenses may become less effective, requiring specialized treatment to maintain visual acuity. Regular eye exams are essential for detecting changes and managing the condition before it significantly impacts daily life.
While there is no cure for keratoconus, advancements in ophthalmology have led to highly effective treatments that can slow or stop its progression and, in some cases, restore clearer vision. The best approach depends on the severity of the condition, the stability of the cornea, and individual vision goals.
Contact Lenses for Keratoconus
In the early stages of keratoconus, eyeglasses or soft contact lenses may provide adequate vision correction. However, as the cone-like shape of the cornea worsens, standard lenses often become ineffective. Many patients benefit from:
- Rigid gas permeable contact lenses (RGPs) – These gas permeable contact lenses create a smooth refractive surface over the cornea, improving clarity.
- Hybrid lenses – A combination of rigid gas and soft lenses, designed for comfort and stability.
- Scleral contact lenses – Larger lenses that vault over the cornea, providing sharper vision while protecting the eye’s surface.
Corneal Cross-Linking (CXL) for Keratoconus
Corneal collagen cross-linking (CXL) is a minimally invasive procedure designed to strengthen the cornea and prevent further bulging. By applying riboflavin (vitamin B2) eye drops followed by controlled ultraviolet (UV) light exposure, CXL increases the bonds between collagen fibers within the corneal tissue, stabilizing the structure and reducing the risk of worsening vision. The FDA-approved treatment has been instrumental in delaying or preventing the need for a corneal transplant in many patients. CXL does not reverse keratoconus, but it can significantly slow the progression of the disease and help preserve visual acuity.
Learn More About Corneal Cross-linking
Intacs® Corneal Implants
For some patients with keratoconus, Intacs may be a helpful option to improve vision and corneal shape. These small, curved inserts are placed just beneath the surface of the cornea in a quick, office-based procedure. Intacs work by gently flattening the cornea, which can reduce irregularity and improve how light enters the eye. While not a cure, they can be an effective part of a broader treatment plan—especially for patients who are no longer getting adequate vision correction from glasses or contacts.
Corneal Transplant for Advanced Keratoconus
In severe cases where corneal scarring or extreme thinning compromises vision, a corneal transplant may be necessary. This procedure replaces the damaged cornea with healthy donor tissue. While typically successful, a transplant is considered a last resort when other keratoconus treatment options no longer provide sufficient vision correction.
Early intervention with eye exams and specialized eye care can help prevent progression and maintain eye health.
EVO ICL™ for Keratoconus
For patients with keratoconus symptoms who seek long-term vision correction, the EVO ICL (Implantable Collamer™ Lens) may be an option. This advanced refractive surgery places a biocompatible lens inside the eye, providing clear vision without removing corneal tissue. EVO ICL is often performed after corneal cross-linking, once the cornea has stabilized. Unlike LASIK, which removes tissue to reshape the cornea, EVO ICL works with the eye’s natural structure, making it a safer alternative for patients with keratoconus.
EVO ICL has been a highly effective option for improving vision in patients with keratoconus. We’ve seen excellent outcomes, with many individuals achieving sharper, more stable vision and reducing their reliance on glasses or contact lenses. This advanced lens implant offers a valuable path forward for those seeking lasting vision correction while preserving the natural structure of the eye.
About I Love LASIK
I Love LASIK is a premier destination for advanced keratoconus treatment and vision correction in New York City and Brooklyn. Led by Dr. Samer Khosrof, a distinguished ophthalmologist with extensive expertise in corneal and refractive surgery, our practice is dedicated to providing world-class eye care with a highly personalized approach. With over 25 years of experience, Dr. Khosrof is double-trained in vitreoretinal surgery and ophthalmology, making him uniquely qualified to manage complex corneal conditions like keratoconus.
At I Love LASIK, every patient receives one-on-one attention throughout their entire vision journey. Unlike high-volume centers, Dr. Khosrof personally oversees all aspects of patient care—from the initial consultation to post-treatment follow-up—ensuring precision, continuity, and exceptional results. His deep commitment to patient outcomes means that he only recommends keratoconus treatments that are truly in the patient’s best interest, providing ethical, expert-guided care at every step.
Why Choose I Love LASIK?
- Extensive Experience – Thousands of successful refractive surgery cases, including EVO ICL and corneal cross-linking (CXL).
- Double-Trained Surgeon – Expertise in ophthalmology and vitreoretinal surgery, offering an unparalleled depth of knowledge.
- Advanced Technology – State-of-the-art laser and surgical solutions for keratoconus treatment and vision correction.
- Personalized Care – Dr. Khosrof manages every aspect of your care, ensuring a seamless experience and optimal results.
- Commitment to Patient Outcomes – A meticulous approach that prioritizes eye health, visual acuity, and long-term stability.
Making a Difference Beyond Eye Care
At I Love LASIK, our mission extends beyond vision correction. We believe in giving back, which is why 10% of our profits are donated to charitable organizations that provide healthcare, food, and clean water to underserved communities worldwide. By choosing I Love LASIK, you’re not only receiving exceptional eye care—you’re also supporting a practice that is committed to making a positive impact.
Dr. Samir and his staff were absolutely outstanding during today’s surgery. Their professionalism, skill, and compassionate care created such a calm and reassuring atmosphere. Dr. Samir’s expertise was evident every step of the way, and the team’s seamless coordination made the experience smooth and stress-free. I’m truly grateful for their dedication and kindness—it made all the difference!Saif A.
The best ophthalmologist I've ever had. He literally saved me from going blind. I recommended Dr. Samer to everyone, and they've all said the same thing. He is not only one of the most brilliant and compassionate doctors I've ever come across. Thank you, and I wish you the very best!Yousef N.
I had a wonderful experience at I love Lasik. The staff went above and beyond to make me feel comfortable for my surgery. They explained the process very clearly, taking away any nervousness I had for it. Dr. Samer Khosrof was amazing. He was kind and shared a lot of knowledge about the lasik process with me. I would 100% recommend this practice to anyone.Brandon M.
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Keratoconus affects roughly 1 in every
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Keratoconus
John Hopkins University
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2,000
people.
The exact cause of keratoconus is not fully understood, but research suggests a combination of genetic and environmental factors. The condition has been linked to chronic eye rubbing, ocular allergies, and certain connective tissue disorders.
Keratoconus is typically diagnosed through a comprehensive eye exam, which may include:
- Corneal topography – A detailed map of the cornea to detect irregularities.
- Keratometry – A test that measures the curvature of the cornea.
- Slit-lamp examination – A close-up evaluation of the eye’s surface and structure.
Yes. Frequent or aggressive eye rubbing can contribute to corneal thinning and may worsen keratoconus. If you suffer from ocular allergies, it’s essential to avoid rubbing your eyes and consider using prescribed allergy eye drops to minimize irritation.
During corneal collagen cross-linking (CXL):
- Riboflavin eye drops (vitamin B2) are applied to the cornea.
- The epithelium (the cornea’s surface layer) may be removed to allow better absorption.
- The cornea is exposed to ultraviolet (UV) light, which strengthens collagen fibers and stabilizes the cornea’s shape.
The entire procedure is performed in-office and typically takes 30 to 45 minutes per eye.
Most patients experience mild discomfort, light sensitivity, and blurred vision for a few days following CXL. Prescription eye drops are provided to aid healing, and contact lenses should be avoided until the cornea recovers. Visual improvement occurs gradually over several weeks to months.
There is no cure for keratoconus, but treatments like corneal cross-linking (CXL) can halt or slow the progression of the disease, helping to preserve vision.
No, LASIK is not a recommended treatment for keratoconus. Because LASIK removes corneal tissue to reshape the eye, it can further weaken an already thinned or irregular cornea, worsening vision and increasing the risk of complications such as corneal ectasia.
For patients with keratoconus, safer and more effective options include corneal cross-linking (CXL) to strengthen the cornea and EVO ICL™, which provides vision correction without altering the corneal structure.
Keratoconus does not cause complete blindness, but it can lead to severe vision loss if left untreated. In advanced cases, a corneal transplant may be required.
Schedule Your Consultation
If you’ve been diagnosed with keratoconus or are experiencing symptoms such as blurred vision, increased light sensitivity, or difficulty wearing contact lenses, the team at I Love LASIK is here to help. Dr. Samer Khosrof, a highly skilled ophthalmologist, provides advanced keratoconus treatment options, including corneal cross-linking (CXL) and EVO ICL™, to help stabilize vision and improve eye health.
At I Love LASIK, we are committed to personalized patient care, ensuring that every treatment plan is tailored to your unique vision needs. Schedule a comprehensive eye exam today to explore your options and take the next step toward clearer vision.