What Is the Most Common Treatment for Keratoconus? Can It Be Reversed?

If you or someone you know has been diagnosed with keratoconus, you're probably wondering about treatment options. Can it be reversed? What’s the best way to improve vision and prevent the condition from worsening? At 20/20 Optometric of Fresno, we see many patients facing this progressive eye condition and work closely with them to find the best solutions.

Understanding Keratoconus

Keratoconus occurs when the cornea—the clear front surface of the eye—gradually thins and bulges outward into a cone shape. This irregularity causes blurry vision, increased sensitivity to light, and difficulty seeing clearly, even with standard glasses. Since the condition often progresses over time, early intervention is key.

Can Keratoconus Be Reversed?

Unfortunately, keratoconus cannot be completely reversed. Once the cornea starts thinning and changing shape, it doesn't naturally go back to normal. However, treatments are available to slow progression and significantly improve vision. The goal is to stabilize the cornea and optimize sight, so patients can continue their daily activities with confidence.

What is the Most Common Treatment?

For most people with keratoconus, standard soft contact lenses or glasses don’t provide enough clarity. Instead, specialty contact lenses are the most effective treatment for improving vision.

Types of Specialty Contact Lenses for Keratoconus

• Rigid Gas Permeable (RGP) Lenses – These hard lenses maintain their shape on the eye, creating a smooth optical surface to correct vision distortion.

• Hybrid Lenses – These lenses combine a hard center for clear vision with a soft outer ring for comfort.

• Scleral Lenses – One of the most popular options, scleral lenses are larger and vault over the cornea, resting on the white part of the eye (sclera). They provide superior stability, hydration, and comfort, making them a top choice for keratoconus patients.

At 20/20 Optometric of Fresno, we specialize in fitting custom scleral and hybrid lenses to help patients regain sharp, comfortable vision.

Other Treatments for Keratoconus

• Corneal Cross-Linking (CXL): This procedure strengthens the cornea using ultraviolet (UV) light and riboflavin eye drops. It doesn’t reverse keratoconus but can stop progression and prevent worsening vision.

• Intacs (Corneal Inserts): These small implants help reshape the cornea for improved vision.

• Corneal Transplants: In advanced cases where lenses no longer provide clear vision, a corneal transplant may be needed. However, this is typically a last-resort option.

Finding the Right Treatment in Fresno

Keratoconus may not be reversible, but it is manageable. The right treatment can make all the difference in your daily life. If you're in Fresno or the surrounding areas, you don’t have to deal with keratoconus alone. Whether you need scleral lenses or simply a professional evaluation, our team at 20/20 Optometric of Fresno is here to guide you every step of the way.

If you're struggling with blurred vision or discomfort from keratoconus, schedule an eye exam with 20/20 Optometric to find the best solution to keep your sight clear. Visit our Fresno, California, or call (559) 221-8900 to book your appointment today.