TREATMENT The majority of patients can be treated, and get almost normal/normal vision with rigid contact lenses. SPECIALITY SOFT LENSES – in early stages RIGID GAS PERMEABLE KERATOCONIC LENSES – in moderate to advanced stages SCLERAL LENSES – in advanced to severe cases PIGGY-BACK LENSES – specific cases with a soft lens worn under a RGP lens HYBRID LENS – specific cases needing lens with a RGP center and soft edge SURGICAL PROCEDURES (~15-20% of patients need surgery): CORNEAL CROSS-LINKING – to try to retard the progression of the disease INTACS – semi-circular plastic inserts to help reshape the cornea CORNEAL TRANSPLANTS – dependent on availability of donor corneas in South Africa If the condition advances to the stage where the cornea scars, the patient has to have a corneal transplant What is keratoconus? Prevalence How does it affect the patient? Causes