Collagen cross-linking is an essential consideration for all patients diagnosed with keratoconus or other forms of corneal ectasia, particularly younger individuals. While this treatment does not cure the condition, it is highly effective in halting its progression and preventing further changes to the cornea, thereby stabilising vision and preserving eye health. ​ To monitor the condition effectively, corneal topography is essential. This advanced imaging technique, available at Thompson & Hardwick Optometrists, allows for detailed mapping of the cornea, ensuring accurate tracking of any changes. If corneal topography is not available, a referral to the hospital eye service is necessary to ensure proper management and care. This innovative procedure works by strengthening the weakened corneal structure characteristic of keratoconus. By combining riboflavin (vitamin B2) eye drops and controlled UV light, collagen cross-linking reinforces the collagen fibers in the cornea. This minimally invasive treatment stabilizes the corneal shape, reducing the risk of further thinning or distortion, and helps maintain long-term visual stability. If you or someone you know is managing keratoconus, collagen cross-linking could be a key step in protecting and preserving vision for the future.

Some people believe that contact lenses can improve keratoconus by reshaping the eye, while others worry that they might make the condition worse. Fortunately, neither of these statements is true. A properly fitted contact lens should not alter the shape of the cornea, nor should it cause inflammation that could contribute to the progression of the condition. Contact lenses are specifically designed to provide better vision correction by addressing the irregular shape of the eye. The best lenses achieve this through the refractive power and shape manipulation of the liquid tear lens, a truly remarkable process that works like magic! Lenses can be worn in almost all cases and can really be a game changer. Check out the lens options available here at Thompson & Hardwick Optometrists, these lenses are kind of our thing!

Corneal graft surgery has the potential to be truly sight-saving, but it does come with its own set of risks. Lifelong use of anti-inflammatory and immunosuppressant eye drops is often required, and there is always the possibility of infection or graft rejection. However, advancements in modern surgical techniques are continually improving outcomes. While the traditional full-thickness graft is becoming less common, partial-thickness grafts are now more prevalent in keratoconic patients. These procedures typically offer better refractive outcomes, faster recovery times, and a reduced risk of infection and rejection. That said, graft surgery is not a cure for keratoconus. Many patients will still require contact lenses after surgery to achieve optimal vision. Careful consideration should always be given before proceeding with graft surgery, as it is typically reserved for cases where other therapies are not viable. Nevertheless, when indicated, graft surgery can be highly successful and, for some, truly life-changing.