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Corneal diseasesAugust 27, 20252 min read

What Is Keratoconus and How Is It Treated?

What Is Keratoconus and How Is It Treated?
AS
Dr. Ahmed Shaarawy
Lecturer of Ophthalmology · Devers Eye Institute fellow · AAO-published
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Written and medically reviewed per our medical review policy · Last reviewed August 20, 2026

Keratoconus is a condition of the cornea — the clear window at the front of the eye. Instead of holding its normal dome shape, the cornea gradually thins and bulges forward into a cone. That change in shape is what distorts your vision.

Symptoms of Keratoconus

What does keratoconus actually feel like? The most common signs are:

  • Gradual loss of vision
  • Increased light sensitivity
  • Halos around lights
  • Frequent changes to your glasses prescription
  • Difficulty with night vision

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Causes of Keratoconus

Why does it happen? The honest answer is that we don't fully know yet. Genetics play a role, and environmental factors seem to contribute as well.

Treatment Options

The right treatment depends on one thing: how far the cone has progressed.

1. Early Stages

Caught early, keratoconus is usually manageable with prescription glasses or soft contact lenses.

2. Advanced Stages

As the condition progresses, you may need:

  • Rigid gas-permeable (RGP) contact lenses
  • Corneal collagen cross-linking (CXL)
  • Intracorneal ring segments (ICRS)
  • Corneal transplant in severe cases

Important Tips

In our Cairo clinic, the habit we warn every keratoconus patient about first is eye rubbing. To protect your eyes and slow the progression:

  • Avoid rubbing your eyes
  • Schedule regular eye exams
  • Wear UV-blocking sunglasses
  • Maintain a balanced, vitamin-rich diet

One last thing. If any of the symptoms above sound familiar, don't wait — see a cornea specialist for a proper diagnostic workup and a treatment plan built around your eyes.

Is this how you see the world?

Keratoconus symptoms as you actually see them

Drag the divider to compare healthy vision with what a keratoconus patient sees. If the image looks like what you experience, it's time for a specialist diagnostic exam.

Normal vision
With keratoconus

Driving at night

Starbursts and halos around oncoming headlights — the earliest and hardest KC symptom

Read this text clearly

A healthy cornea is the key to clear vision

Read this text clearly

A healthy cornea is the key to clear vision

Normal vision
With keratoconus

Reading

Ghosting and double letters — as if every word is printed on top of itself

EFPTLPEDPECFD
EFPTLPEDPECFD
Normal vision
With keratoconus

Eye chart

Wavy, distorted letters — won't sharpen with regular glasses alone

Book a keratoconus diagnostic exam

Early diagnosis halts corneal progression in 95% of cases

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