A coding system for the office management of patients with keratoconus

An objective and quantitative technique of coding keratoconus according to appropriate treatment plans is suggested. This system is a systematic approach to managing keratoconus with regard to predicting relative success with contact lenses, a well-accepted treatment modality for keratoconus. A discussion of results with various treatment plans and time study while employing this coding system is offered. A retrospective analysis of those pathological and anatomical (objective) findings in keratoconus important in fitting contact lenses is reviewed and incorporated in this new system. A discussion of various fitting options and materials available which may be effective in lessening the progression to advanced levels of this classification system is included.