I view treating keratoconic patients as “extreme optometry” because it challenges our ability to correct refractive error unlike any other eye condition. At its core, the treatment is quite simple—get a smooth, rigid surface on the eye to focus light—and indeed, gas permeable (GP) contact lenses have long been the mainstay for improving vision in these patients.
However, discomfort, handling concerns, and even our own clinical misconceptions can be barriers to successful treatment. In addition, the corneal distortion is often so pronounced that it can be difficult even to get a corneal GP lens to stay on the eye, and patient psychology and practice management issues only add to the challenge.
In my years of specialty practice with keratoconus patients, I have refined the following techniques, and I’d like to share that knowledge.
Try these seven strategies to improve your keratoconus contact lens prescribing and offer better outcomes to your patients.
1. Romero-Jiménez M, Santodomingo-Rubido J, González-Meijóme JM, Flores-Rodriguez P, Villa-Collar C. Which soft lens power is better for piggyback in keratoconus? Part II. Cont Lens Anterior Eye. 2015 Feb;38(1):48-53.