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June 27, 2024
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VIDEO: Clinical signs, symptoms can help diagnose keratoconus in absence of technology

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NASHVILLE, Tenn. — Listening to patients’ complaints and noting refractive or keratometry changes can enable clinicians to identify keratoconus even in the absence of a topographer, a speaker said at Optometry’s Meeting.

“Many of us don’t have tomographers to enable us to evaluate the posterior surface, which is the first place keratoconus will be identified,” Tracy Schroeder Swartz, OD, MS, FAAO, DiplABO, who practices at VisionAmerica in Huntsville, Alabama, said in this Healio video.

Optometrists should look for creeping myopia, astigmatism greater than 2 D, change in keratometry values and complaints about glare or haloes, she said. Also look for dry eye and problems with contact lenses.

“I do topography on all my dry eye patients,” Schroeder Swartz said.