Yes! The Visian ICL can often help those who are very nearsighted as a result of keratoconus. For young people with keratoconus, we often recommend corneal crosslinking to make sure the cornea becomes stable and the keratoconus does not progress. In many cases we place small reinforcing rings in the cornea called either intracorneal ring segments or Intacs. The plastic ring segments help stabilize the distorted surface of the cornea to improve vision and decrease astigmatism. Once all is stable, we can use a Visian ICL to correct the left over nearsightedness or myopia. We are luck to live at a time when we have a number of options to treat keratoconus such as corneal crosslinking, intracorneal ring segments (Intacs), and the Visian ICL.