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Subspecialties Cornea / Ocular Surface

The Sooner, the Better

Identifying keratoconus early is our biggest challenge, as changes in corneal shape typically occur before there is a loss of best-corrected vision.  As well, the slit lamp exam is typically normal in mild keratoconus as well as in many cases with even moderate keratoconus. Since loss of best-corrected vision is often a later consequence,  patients with keratoconus can often have the condition for a significant period of time or experience significant changes in corneal shape before they are diagnosed. There are a few reasons for this: first, it takes a while for patients to recognize their sight has changed, and even longer for them to decide to see an ophthalmologist or optometrist.

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About the Author

William Trattler

Cataract, corneal and refractive specialist at the Center for Excellence in Eye Care in Miami, Florida, USA.

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