Keratoconus Treatment San Diego

What is Keratoconus?

Keratoconus is a medical condition in which the cornea, the clear front window of the eye, becomes thin and stretcjed, taking on the shape of a cone. The disease usually afflicts people in their late teens to early twenties. In the early stages, vision may only be slightly affected, however as the disease progresses, vision can become much more distorted. These vision changes can be accompanied by light sensitivity and discomfort in more advanced cases.

While nobody knows the cause of keratoconus, there is evidence that the disease has genetic origins, possibly made worse by environmental factors and eye rubbing. It normally affects both eyes, though it typically progresses at different rates.

Keratoconus Treatment Options

In some cases, keratoconus can be treated with eyeglasses or specially designed contact lenses. If vision quality has still not improved to a satisfactory level, more significant treatment options include Corneal Transplant surgery, Intacs corneal implants or a corneal crosslinking procedure.


Intacs corneal implants provide a unique reversible option to improve vision and potentially defer a corneal transplant procedure. Intacs are indicated for the correction of nearsightedness and astigmatism for patients with keratoconus when glasses and contact lenses no longer provide suitable vision.

Corneal Crosslinking

Corneal crosslinking is a procedure that is used to strengthen the cornea after it has been weakened by keratoconus or other corneal diseases. The procedure is minimally invasive and involves applying liquid riboflavin to the surface of the eye and eliminating corneal ectasia through the application of ultraviolet light. Corneal crosslinking can be combined with Intacs to help reshape and stabilize the cornea.

For those keratonic patients who are contact lens intolerant, Intacs corneal implants offer a less complex option than a corneal transplant. Most physicians would prefer to delay a corneal transplant as long as possible. Intacs corneal implants make this a possibility by improving functional vision, and possibly delaying the need for corneal transplants.

The goal of the Intacs procedure is to provide the keratoconic patient with the ability to achieve improved functional vision with contact lenses or glasses and in some cases without them. In the few patients who later had a conreal transplant after having the Intacs procedure, their transplants were completed without any complications.

Learn More about Keratoconus Treatment

Dr. John Bokosky is a corneal specialist that has over 20 years of experience treating Keratoconus at Eye Care of San Diego. Dr. Bokosky has successfully performed countless corneal transplants and corneal crosslinking procedures to allow his patients to return to a productive, healthy lifestyle. Contact us today to schedule a consultation with our talented team. Offices located in La Jolla, Escondido, and Mission Hills.