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Preparing for your appointment

By Mayo Clinic staff

If you're having difficulty with your vision, you'll likely to start by seeing an ophthalmologist or optometrist. If it's determined that a corneal transplant may be needed, you may be referred to an ophthalmologist who specializes in eye surgery.

Because appointments can be brief and there's often a lot of ground to cover, it's a good idea to be prepared. Here's some information to help you get ready, and what to expect from your eye doctor.

What you can do

  • Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment. Also, write down key personal information, including any major stresses or recent life changes.
  • Make a list of all medications, including eyedrops, vitamins and supplements that you're using or taking.
  • Ask a family member or friend to come with you. Sometimes it can be difficult to absorb all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
  • Write down questions to ask your doctor.

Your time with your doctor is limited, so preparing a list of questions will help you make the most of your time together. List your questions from most important to least important in case time runs out. For keratoconus, some basic questions to ask your doctor include:

  • What do you think is causing my symptoms?
  • Are there any other possible causes for my symptoms?
  • Do I need any special tests?
  • Is this condition temporary?
  • What treatments are available? Which do you recommend?
  • Are there alternatives to the primary approach that you're suggesting?
  • I have another health condition. How can I best manage these conditions together?
  • Are there any brochures or other printed material that I can take with me? What websites do you recommend?

In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment.

What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over points you want to spend more time on. Your doctor may ask:

  • What types of signs and symptoms have you been having?
  • When did you begin experiencing symptoms?
  • Have your symptoms been continuous or occasional?
  • How severe are your symptoms?
  • Does anything seem to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?
  • Is there anyone in your family who has keratoconus?
References
  1. Biswell R. Cornea. In: Riordan-Eva P, et al. Vaughan & Asbury's General Ophthalmology. 17th ed. New York, N.Y.: McGraw-Hill; 2008. http://www.accessmedicine.com/content.aspx?aID=3090961. Accessed Sept. 10, 2010.
  2. Keratoconus. American Optometric Association. http://www.aoa.org/x4721.sml?prt. Accessed Sept. 10, 2010.
  3. Facts about the cornea and corneal disease. National Eye Institute. http://www.nei.nih.gov/health/cornealdiseae/. Accessed Sept. 10, 2010.
  4. Sugar J, et al. Keratoconus and other ectasias. In: Yanoff M, et al., eds. Ophthalmology. 3rd ed. Philadelphia, Pa.: Mosby; 2008. http://www.mdconsult.com/das/book/body/218145129-3/1051361285/1869/244.html#4-u1.0-B978-0-323-04332-8..00042-1_987. Accessed Sept. 10, 2010.
  5. Keratoconus. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/sec20/ch230/ch230i.html. Accessed Sept. 10, 2010.
  6. Schena LB. Keratoconus: Questions and solutions. American Academy of Ophthalmology. http://www.aao.or/aao/publications/eyenet/200703/refractive.cfm. Accessed Sept. 10, 2010.
  7. Gupta N, et al. Keratoconus: Diagnosis and management. http://www.aao.or/aao/publications/eyenet/200705/pearls.cfm. Accessed Sept. 10, 2010.
  8. Kymes SM, et al. Changes in the quality-of-life of people with keratoconus. American Journal of Ophthalmology. 2008;145:611.
  9. Comprehensive eye and vision examination. American Optometric Association. http://www.aoa.org/x4725.xml. Accessed Sept. 16, 2010.
  10. Belin MW, et al. Keratoconus: It is hard to define, but ... . American Journal of Ophthalmology. 2007;143:500.
  11. Mannis MJ. Keratoconus: Why and when do we turn to surgical therapy? American Journal of Ophthalmology. 2006;142:1044.
  12. Crosby MB, et al. Management of keratoconus. Contemporary Ophthalmology. 2007;6:1.
  13. Yildiz EH, et al. Quality of life in keratoconus patients after penetrating keratoplasty. American Journal of Ophthalmology. 2010;149:416.
  14. Han DCY, et al. Comparison of outcomes of lamellar keratoplasty and penetrating keratoplasty in keratoconus. American Journal of Ophthalmology. 2009;148:744.
  15. Vinciguerra P, et al. Intraoperative and postoperative effects of corneal collagen cross-linking on progressive keratoconus. Archives of Ophthalmology. 2009;127:1258.
  16. Kymionis GD, et al. Long-term follow-up of Intacs in keratoconus. American Journal of Ophthalmology. 2007;143:236.
DS01116 Oct. 28, 2010

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