pRSn1. ikrYtokons kI huMdw hY?

​

ikrYtokons donW A`KW iv`c hox vwlI ibmwrI hY ijs iv`c holI-holI A`K dI sB qoN AglI SISy vrgI prq, kOrnIAw, pqlI ho jWdI hY[ iesdw nqIjw ieh huMdw hY ik ieh kmjor kOrnIAw A`K dy AMdrly kudrqI pRYSr kwrn kon vWg bwhr ƒ  inkl jWdw hY[ ikrYtokons pUrw AMnwpx nhIN krdw pr ingHw ƒ bhuq ijAwdw nukswn jrUr krdw hY[kOrnIAw kuJ Kws iksm dy pRotIn (Collagen) dw bxieAw huMdw hY[ ikrYtokons iv`c ies pRotIn dI mwqrw smyN nwl G`tdI jWdI hY ijs kwrn kOrnIAw pqlw ho ky kon dw Awkwr lY lYNdw hY[

​

​

​

​

​

​

​

​

​

​

What is Keratoconus?

Keratoconus is an illness of both eyes in which the outer transparent layer of the eye becomes thinner. As a result of which it unable to bear the intraocular pressure and starts protruding outwards in the shape of a cone. 

Keratoconus is a potentially blinding condition. Our cornea is made of a special protein called collagen. In keratoconus, the amount of collagen in cornea decreases and the inter collagen bonds also decrease. As a result of which whole of the cornea becomes very weak. Particularly at the tip of the cone.

​

pRSn2. ikrYtokons dw kI kwrn huMdw hY? 

iesdw kwrn pUrI qrW hly q`k pqw nhIN cl pwieAw hY[ dyiKAw igAw hY ik ieh A`KW dI AlrjI dy mrIjW iv`c ijAwdw pwieAw jWdw hY ikauNik ieh mrIj CotI aumr qoN hI A`KW ƒ ijAwdw mlHdy rihMdy hn[ qkrIbn hr 2000 lokW ip`Cy ie`k ikrYtokons dw mrIj pwieAw jWdw hY[

​

What is cause of Keratoconus?

The real reason behind keratoconus is not yet known. It is believed that ocular allergy and frequent eye rubbing are the major causes of keratoconus. Recent studies has shown that keratoconus is found in one person among 2000 normal people.

​

pRSn3. ikrYtokons dy kI l~Cx huMdy hn? 

What are the sign and symptoms of Keratoconus?

SurUAwq iv`c mrIj ƒ DuMdlw idKweI idMdw hY Aqy AYnk dw nMbr vwr-vwr bdldw rihMdw hY[ ibmwrI vDx qy AYnk nwl vI ingHw pUrI nhIN huMdI[ rOSnI dw P`txw, cIjW dw tyFw myFw Aqy do-do idsxw, rOSnI BYVI lgxw vI iesdy l`Cx hn[

​

• Defective vision

• Frequent change in glasses

• Best corrected vision less than 6/6

• Diplopia 

• Photo phobia 

 

pRSn4. ikrYtokons dw pqw kIvyN cldw hY? 

How is keratoconus diagnosed?

SurUAwqI ikrYtokons dw pqw lgwauxw bhuq hI muSikl huMdw hY[ jy mrIj dw AYnk dw nMbr vwr-vwr bdly jW AYnk dy AjIb nMbr lgdy hox Aqy AYnk lgw ky vI ingHw nw vDy Aqy auh ikrYtokons vrgy l`Cx irpot kry qW fwktr ausdI kOrnIAl topogrwPI Aqy pYkIimtrI tYst krvwauNdw hY[ieh donoN tYst ikrYtokons dI mwqrw dw igAwn idMdy hn Aqy ielwj dI plYinMg krn iv`c mdd krdy hn[

​

Early keratoconus is very difficult to diagnose. If the patient reports of any of the symptoms of keratoconus mentioned above than eye doctor gets his corneal topography, pachymetry  and pentacam scan done. These tests tell us the amount of keratoconus and help us in planning the treatment.

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

pRSn5. ikrYtokons dw kI ielwj huMdw hY? 

​

• kMntYkt lYNj:- SurUAwqI ikrYtokons iv`c RGP Lens leI kMntYkt lYNj hI kwPI huMdy hn[ijvyN-ijvyN ikrYtokons vDdw hY kMntYkt lYNj ƒ iP`t krnw AOKw ho jWdw hY Aqy ingHw vDwaux iv`c lYNjw dy nwl Pwiedw nhIN huMdw

​

​

​

​

​

​

​

​

• C3R:- ikrYtokons dw ie`k sPl  ielwj hY[ieh ie`k Cotw ijhw ApRySn huMdw hY ijs iv`c AltRw vwielt rOSnI Aqy ivtwimn B2 nwl kOrnIAw dy pRotIn (Collagen) dy AwpsI joVW ƒ bhuq mjbUq kr id`qw jWdw hY Aqy nvyN joV bxwey jWdy hn[ C3-R nwl kOrnIAw dI mjbUqI 300% q`k vDweI jw skdI hY[ pr C3-R Awpxy Awp iv`c ADUrw ielwj hY[ C3-R ikrYtokons ƒ vDxo pUrI qrW rok idMdw hY pr pihlW qoN hI Krwb ho cu`kI ingHw ƒ vDwaux leI kMntYkt lYNj jW AYnk dI vrqoN krnI pYNdI hY[

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

INTACS (Intra Stromal Ring Segment):- ies ielwj iv`c kOrnIAw dy bwhrly pwsy irMg pw id`qI jWdI hY jo ik kOrnIAW dy kon ƒ AMdr iK`c ky kOrnIAw ƒ gol kr idMdI hY[ INTACS nwl mrIz dI ingHw v`D jWdI hY Aqy kMntYkt lYNj vI iP`t krny Aswn ho jWdy hn[

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

• Corneal Transplant:- jdoN ikrYtokons iehnW vD jWdw hY ik swry ielwj Pyl ho jwx aus smyN Corneal Transplant kIqw jWdw hY[ ijs iv`c mrIz dw Krwb kOrnIAw auqwr ky fonr dw cMgw kOrnIAw iP`t ik`qw jWdw hY Aqy kMntYkt lYNj jW AYnk lgw ky mrIz dI ingHw vDweI jWdI hY[ 

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​​

​

​

What is the treatment of Keratoconus?

​

• Contact Lens:- Early keratoconus can be treated with RGP Lenses. however, as the keratoconus increases the tolerance to RGP Lenses decreases and in advanced keratoconus, it is very difficult to fit an RGP Lens. But as a rule, RGP Lens gives better vision than specs in keratoconus patients.

​

• C3R:- C3R is a revolutionary new treatment of keratoconus where the eye is treated with ultraviolet light and vitamin B2. This increases the collagen protein inner bonds by many times. The cornea becomes 300% stronger. Keratoconus stops increasing immediately. However the loss of vision that has already occurred can not be reversed. For that patient has to wear glasses or lenses

​

• INTACS (Intra Stromal Ring Segment):- These are special ring segments made of plastic that are put on side of cornea. They mechanically pull the cornea sideways and the cone inwards. In combination with C3R, they are very effective in treating keratoconus.

​

• Corneal Transplant:- When the keratoconus is so advanced that all the previous mentioned treatment fail or the cornea perforates than the only treatment left is corneal Transplant