Clinical Scorecard: The Keratoconus Contact Lens Toolbox
At a Glance
| Category | Detail |
|---|---|
| Condition | Keratoconus |
| Key Mechanisms | Varied contact lens modalities to address visual and anatomical challenges. |
| Target Population | Patients with keratoconus of varying severity. |
| Care Setting | Optometry and contact lens fitting. |
Key Highlights
- Lens selection should prioritize the patient over the lens type.
- Specialty soft lenses can improve vision and comfort for mild to moderate keratoconus.
- Corneal GP lenses provide better visual acuity for centrally located cones.
- Scleral lenses are suitable for moderate to severe keratoconus and offer customization.
- Fitting requires ongoing evaluation of ocular surface health.
Guideline-Based Recommendations
Diagnosis
- Assess keratoconus severity, cone location, and ocular health.
Management
- Select contact lenses based on individual patient needs and comfort.
Monitoring & Follow-up
- Evaluate ocular surface health without the lens at follow-up visits.
Risks
- Avoid flat fits and apical bearing to reduce risk of corneal scarring.
Patient & Prescribing Data
Individuals with keratoconus requiring vision correction.
Hybrid and piggyback systems can enhance comfort and stability.
Clinical Best Practices
- Customize lens design to match patient ocular anatomy and visual requirements.
- Incorporate HOA correction in scleral lenses for improved visual quality.
Related Resources & Content
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