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Debunking Misconceptions About Keratoconus Treatment

Keratoconus is a sight-threatening condition that affects the cornea, causing it to thin and change shape progressively. It can have a significant impact on a person’s vision, making it essential to understand the realities of keratoconus and its treatment options. In this blog, we will debunk ten common misconceptions about keratoconus treatment, shedding light on the facts to help individuals make informed decisions regarding their eye health.

Misconception 1: Keratoconus leads to Blindness

Truth: While keratoconus can severely deteriorate vision, it does not lead to complete blindness. However, it can impair vision to the extent that daily activities become challenging. In advanced stages, scarring may occur, making contact lens wear difficult, and a corneal transplant might be considered when other treatments fail.

Misconception 2: Contact Lenses Halt Keratoconus Progression

Truth: Contact lenses, such as scleral or rigid gas permeable lenses, can significantly improve vision in keratoconus patients, but they do not stop the progression of the condition. Regular follow-ups and proper fitting are crucial to ensure their effectiveness.

Misconception 3: Collagen Cross-Linking Improves Vision

Truth: Collagen cross-linking is a valuable treatment for preventing the progression of keratoconus, particularly during its active stage. However, it does not directly improve vision. Patients often require contact lenses for clearer sight.

Misconception 4: Untreated Glaucoma Leads to Keratoconus

Truth: Glaucoma is a separate condition characterized by increased intraocular pressure and optic nerve damage. While some cases of keratoconus may be linked to glaucoma, not all cases of glaucoma result in keratoconus.

Misconception 5: Corneal Transplant is the Only Treatment

Truth: Corneal transplant is considered in severe cases when other treatments prove ineffective.

Clear Vision offers a range of alternative treatments, such as contact lenses, collagen cross-linking, and intrastromal corneal rings (Intacs), to manage keratoconus effectively.

Misconception 6: Hard Contact Lenses Prevent Progression

Truth: Hard contact lenses improve vision but do not stop keratoconus progression. Ill-fitted lenses can exert excessive pressure on the cornea, leading to discomfort and potential scarring. They serve as a cover over the cornea and may need replacement if corneal shape changes.

Misconception 7: Only Young People Suffer from Keratoconus

Truth: Keratoconus typically develops in young individuals, but it can affect people of all ages. Some individuals are diagnosed with keratoconus in their 40s or 50s.

Misconception 8: Collagen Cross-Linking Causes Cataracts and is Painful

Truth: Modern collagen cross-linking techniques are not painful, with rapid recovery. There is no evidence to suggest that it causes cataracts to develop earlier.

Misconception 9: Intrastromal Corneal Rings Alone Stabilize Keratoconus

Truth: Intrastromal corneal rings (Intacs) can improve vision but do not provide strength to collagen fibers. A combination of Intacs and collagen cross-linking is often more effective in halting progression and enhancing vision clarity.

Misconception 10: Advanced Keratoconus Requires a Corneal Transplant

Truth: Various treatment options are available for moderate to advanced keratoconus. Corneal transplant is considered when other treatments are exhausted. Mumbai’s advanced knowledge in treatments like collagen cross-linking and Intacs offers hope for vision improvement without transplants.


Debunking these misconceptions about keratoconus treatment is crucial for individuals seeking effective care for their eye condition. Clear Vision healthcare facilities offer a wide range of treatments, allowing patients to regain vision clarity and prevent the progression of keratoconus without immediately resorting to corneal transplants. Consulting with Dr. Vinay Agrawal, a leading eye care specialist in Santacruz, Mumbai, can help individuals make informed decisions about their treatment options. 

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