🌪️ Keratoconus
Keratoconus is a progressive thinning and distortion of the cornea, where it changes from a normal dome shape to a cone-like shape.
Most often caused or worsened by chronic eye rubbing, keratoconus leads to irregular astigmatism, blurry vision, and often an inability to see clearly even with glasses.
Treatments for Keratoconus:
- Corneal collagen cross-linking (CXL) to halt progression
- Custom contact lenses for visual correction (done by nearby specialist optometrists)
- Laser procedures or corneal implants for reshaping
- Corneal transplantation for advanced cases
➡️ At your consultation, Dr Rylan will precisely measure your corneal structure using advanced topography to tailor the best treatment for you.
💧 Fuchs’ Dystrophy / Endothelial Corneal Failure
Fuchs’ endothelial dystrophy is a condition affecting the innermost layer of the cornea (the endothelium), which is responsible for keeping the cornea clear by pumping out excess fluid.
As it deteriorates, corneal swelling and blurred vision can develop—often worse in the morning and improving slightly during the day.
Why Specialist Care Matters:
Fuchs’ can be worsened by cataract surgery, so careful surgical planning by a corneal specialist is essential.
Treatment Options:
- Endothelial keratoplasty (DMEK): A highly refined form of corneal transplant replacing only the damaged layer
- Newer non-transplant surgical techniques (DSO) in early stages
- Combined cataract and Fuchs’ surgery when both issues coexist
➡️ Dr Rylan performs minimally invasive corneal transplants with advanced equipment, ensuring faster recovery and excellent outcomes.
✨ Corneal Dystrophies
✨ Corneal Dystrophies
✨ Corneal Dystrophies
Corneal dystrophies are inherited conditions that cause deposits, often crystal-like or cloudy, to build up within the cornea.
Some forms can cause recurrent corneal erosions, where the surface layer peels off causing sharp pain and irritation—especially on waking.
Treatments May Include:
- Lubricating and hypertonic eye drops
- Laser therapy (PTK) to smooth the surface
- Specialised procedures to reduce recurrence
- Corneal transplantation
➡️ Your diagnosis will be confirmed using high-resolution imaging and tailored treatment based on the type and severity of dystrophy.
🩹 Corneal Scars
✨ Corneal Dystrophies
✨ Corneal Dystrophies
Corneal scars can result from infection (e.g. herpes simplex, contact lenses), trauma, chemical injury, or previous eye surgery. These scars scatter light and cause distorted or reduced vision, sometimes severely.
Management Options:
- Laser resurfacing to improve smoothness and clarity
- Surgical scar removal or reconstruction
- Corneal transplant in more severe or central scars
➡️ Dr Rylan will assess your scar’s location, depth, and impact to determine the safest and most effective solution.