Can Keratoconus Get Worse? Understanding Its Progression (Fez)

“Will my keratoconus get worse?” This is one of the most common — and legitimate — questions. The honest answer: yes, keratoconus can progress, but it is not inevitable. Well monitored, it can be kept under watch and often stabilizes.

A disease that can progress

Keratoconus progresses mainly in adolescence and young adulthood, then tends to stabilize over time. Each eye is different: some stay stable, others progress faster — hence the importance of follow-up tailored to your case.

What can speed up progression?

• Eye rubbing : this is the best-known aggravating factor. Rubbing the eyes weakens the cornea — it is best avoided.
• Eye allergies that are poorly controlled, which prompt eye rubbing.
• Keratoconus that begins early, sometimes more progressive.

How is progression monitored?

The key tool is corneal topography : by repeating it over time, the shape of the cornea is compared and any progression, even slight, is detected. That is what makes it possible to act at the right time.

Can progression be slowed?

Yes, in many cases. When keratoconus is progressing, your ophthalmologist can discuss with you the options aimed at stabilizing the cornea, to preserve vision in the long term. The right choice depends on your situation, after evaluation.

Key takeaway

Keratoconus can get worse, especially if you rub your eyes — but early screening and regular follow-up change everything. The key: don’t lose sight of it.

Dr Hassan Oulehri, ophthalmologist in Fez, Morocco, provides keratoconus screening and follow-up (corneal topography). To learn more or book an appointment: WhatsApp or 0615 55 71 41. See also: recognizing the signs of keratoconus.