blepharitis and keratoconus

Always treat the patient as a whole says cornea expert dr. Khanna.
So if we want patient to avoid rubbing his or her eyes, its important to eliminate factors which may lead to rubbing. Blephritis is inflammation of the lid margins. So if we ca n bring the inflammation down, less rubbing and less increment for progression of Keratoconus. So the take home point is that treatable associated conditions with keratoconus should be diagnosed and treated early. If you want to come to Los Angeles for a second opinion on your keratoconus contact us.


Rubbing keratoconus ; which came first

Chicken or egg- which came first. Maybe whatever you ordered first. Lol
But keratoconus is no laughing matter. In California many patients are victims of this disease. A question Los Angeles keratoconus experts ask their patients is if they have rubbed their eyes. Some researchers feel rubbing contributes to the development and progression of keratoconus. Other cornea experts feel keratoconus patients rub to see better. So the jury is out there. Our advise is not to rub your eyes.
Rubbing can also move implanted intacs. So instead of rubbing we need to find the cause of rubbing.

Advanced keratoconus

advanced keratoconus  Los Angeles keratoconus expert dr. Khanna opines that keratoconus is a progressive disease. It needs to be diagnosed and treated before it reaches an advanced state. Keratoconus is a marching disease.  In advanced keratoconus Los Angeles patients have marked decrease of vision. Glasses may not be any good and even contact lens may be futile. Cone can be detected on topography. Cornea may be very thin and have scarring. Intacs  or cornea cross linkage also may be too late an option. Therefore if you have been diagnosed with keratoconus contact Los Angeles specialist on cornea- Rajesh Khanna , MD 

Keratoconus symptoms


Early keratoconus can be masked. Some patients report a small blur in the vision. When they visit an eye doctor there may not be much to detect. Glasses may do the trick and patient goes back home only to realizes glasses don’t give him great vision. Gradually the keratoconus causes frequent change in glasses. Its important that they seek a keratoconus expert. In los angeles we have dr. Khanna who is a keratoconus expert. He is a professional who is considered an expert in the field of keratoconus.

Los Angeles keratoconus

Los Angeles is a big city or rather a melting pot with Indians, Hispanic Asian whites and blacks all living together. A lot of thes good folks may me suffering from keratoconus
But over the last 2 decades researchers have discovered ways to help people suffering from keratoconus. Los Angeles cornea expert dr. Khanna can help people in Los Angeles battle this disease.

Sex and keratoconus

RESULTS: The women were older, more likely to report a family history of keratoconus, more likely to be nonwhite, and less likely to complete college than men. Vogt’s striae and monocular and binocular high-contrast entrance acuity were the only visual characteristics that varied between men and women in the multivariate model. Women were more likely than men to report ocular symptoms of dryness and complaints based upon a composite score of ocular symptoms. Women reported more hours per day of near work and were less likely to report the ability to wear contact lenses for enough hours to permit reading at home in the evening. Women reported more visits to their eye care practitioner during the previous 12 months. NEI-VFQ results revealed differences in self-reported difficulty with distance activities and driving.

Indications for INTACS

Indications for Intacs
1. Must be 21 years of age or older deterioration in vision not able to be improved with contact lenses or spectacles.
3.Clear central cornea 
4.Central corneal thickness of 450 microns or more
5.corneal transplantation is the only other option.

Los Angeles keratoconus expert dr. Khanna advises other surgeons to follow these indications.

Contact lens causes scarring

Multivariate analyses of 5-year prospective data from the CLEK Study cohort showed that baseline corneal curvature, contact lens wear, corneal staining, and younger age were predictive of the development of corneal scarring. The 5-year incidence of scarring is 13.7% for the overall sample and 38.0% for those eyes with corneal curvature greater than 52 D that wore contact lenses. Contact lens wear increased the risk of incident scarring more than 2-fold. These findings suggest a causal contribution of contact lens wear to corneal scarring in keratoconus

Keratoconus associated systemic diseases

The most common presentation of the keratoconus is as a sporadic disorder, but it has long been recognized that a significant minority of patients exhibit a family history as an autosomal dominant mode of inheritance. Most investigators suggest complete penetrance of predisposing factors with variable phenotypic expression. In some patients heterozygous mutations in the VSX1 gene are described as the underlying gene defect. An association with Down syndrome, monosomia X (Turner syndrome), Leber’s congenital amaurosis, mitral valve prolaps, collagenosis, retinitis pigmentosa and Marfan syndrome is described. The role of corneal cells in the pathogenesis of keratoconus is supported by the published reports of recurrence of keratoconus in eyes after penetrating keratoplasty due to graft repopulation by the recipient cells.