Amsler-Krumeich Staging (Keratoconus)

Amsler-Krumeich keratoconus classification (Krumeich 1998): stage 1-4 by the most advanced finding.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Mean central keratometry
50 D
Thinnest corneal thickness
450 um
Myopia + astigmatism
6 D

Result: Amsler-Krumeich stage 2 — moderate keratoconus.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Parameters
mean K (<48/48-53/54-55/>55 D), thinnest thickness (>500/400-500/200-400/<200 um), myopia+astig (<5/5-8/8-10/>10 D), central scar (=stage 4).
Stage
the most advanced single parameter, 1 (mild) to 4 (advanced).

What you enter

  • Mean central keratometry (diopters)
  • Thinnest corneal thickness (microns)
  • Myopia + astigmatism (diopters, optional)
  • Central corneal scarring present (stage 4)
How this is calculated

Krumeich JH, Daniel J, Knulle A. Live-epikeratophakia for keratoconus. J Cataract Refract Surg. 1998;24(4):456-463. (Stage boundaries per Kamiya K, et al. Sci Rep. 2018;8:12852.) Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.