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Subspecialties Cornea / Ocular Surface, Practice Management

The Modified Epi-Off Protocol

I see many keratoconus cases in my referral-based practice here in Tampa, Florida – but, locally, the lion’s share of this condition is found within the practices of primary care ophthalmologists and optometrists. We’ve made significant efforts to educate these colleagues with regard to keratoconus identification; the diagnostic criteria we recommend to them include rapidly shifting refractions that are not refractable to 20/20, better vision with hard rather than soft contacts, atopic keratitis or keratoconjunctivitis, allergies, and eye-rubbing habits. Our broad aim is to help primary care physicians screen their patients and identify keratoconus as early as possible. And it’s working – we see far more cases today than a few years ago. In fact, I’d say we get about 25 to 50 newly-diagnosed keratoconus patients in any given month.

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About the Author

Neel Desai

Board-certified ophthalmologist specializing in LASIK, cataract and corneal diseases at The Eye Institute of West Florida, USA.

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