VIDEO: Corneal transplant for keratoconus may be avoided with scleral lens, cross-linking
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WAILEA, Hawaii — In this Healio Video Perspective from Hawaiian Eye 2024, Kenneth A. Beckman, MD, FACS, discusses the use of scleral lenses and corneal cross-linking for keratoconus.
In advanced cases that may normally require a corneal transplant, Beckman said cross-linking with scleral lenses can play a role.
“As long as there is not a dense, central scar that’s occluding the vision, it is shocking how good the vision may be in many of these advanced cones,” Beckman said. “We have plenty of patients who are 20/400 in glasses, but you actually can get them to 20/20 and you can avoid the transplant. If they are still progressing, we would treat them with cross-linking first and then fit them. But if they are already stable, they can still fit with a scleral lens and avoid the transplant.”
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Beckman K. Crosslinking for keratoconus: Is keratoplasty on the way out? Presented at: Hawaiian Eye 2024; Jan. 13-19, 2024; Wailea, Hawaii.
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