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The Cleveland Clinic

Keratoconus

Introduction

We see through the cornea, which is the clear, central part of the front surface of the eye. Normally, the cornea has a round shape, like a ball. Sometimes, however, the structure of the cornea is just not strong enough to hold this round shape. The normal pressure inside the eye makes the cornea bulge outward like a cone. This condition is called keratoconus.

What Causes Keratoconus?

Often the cause of keratoconus is unknown. Some studies have found that keratoconus runs in families, and that it happens more often in people with certain medical conditions. But most often, there is no eye injury or disease that could explain why the eye starts to change.

Keratoconus usually begins in the teenage years, but it can also start in childhood or up to about age 30. The changes in the shape of the cornea occur slowly, usually over several years.

Someone with keratoconus will notice that vision slowly becomes distorted. The change can stop at any time, or it can continue for several years. In most people who have keratoconus, both eyes are eventually affected.

Can Keratoconus Damage Vision?

Keratoconus does not make people go blind. However, the changes to the cornea will make it impossible for the eye to focus without eyeglasses or contact lenses .

Keratoconus can be dangerous if laser vision correction surgery -- LASIK or PRK is performed on the eye.

Anyone with even a small amount of keratoconus should not have laser vision correction surgery.



Next: How is keratoconus diagnosed? »

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Keratoconus

What is the structure of the eye?

The eyes are complex sensory organs. About 85% of the total sensory input to our brains originates from our sense of sight, while the other 15% comes from the other four senses of hearing, smell, touch, and taste. The eyes are designed to optimize vision under conditions of varying light. Their location, on the outside of the face, makes them susceptible to trauma, environmental chemicals and particles, and infectious agents. The eyelids and the position of the eye within the bony orbital cavity are the major protective mechanism for the eye.

The eye itself has the shape of a sphere measuring about 1 inch in diameter. It consists of a clear, transparent dome at the front (the cornea) that is surrounded by the white of the eyeball (the sclera). The iris of the eye is the circular, colored portion within the eye, and behind the cornea, and the pupil is the central opening within the iris. Behind the iris and pupil is the e...

Read the Eye Care article »




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