This study was sought to examine the vision‐related quality of life (vr‐QoL) in stable and progressive keratoconus (KC) patients with a still good visual acuity. Researchers used Refractive Status and Vision Profile and the National Eye Institute Visual Functioning – 25 questionnaires in 16 emmetropic, 32 myopic, and 56 KC patients, whereby KC patients with a stable (n = 26) and patients with a progressive stage (n = 30) and some of them before and after corneal cross‐linking (CXL; n = 10) were enrolled. The results demonstrate that a reconsideration of current strategies to perform CXL only after a progression is diagnosed should be re‐evaluated due to a still high and almost unaffected vr‐QoL in early KC patients and the distinct decline after progression without rehabilitation after CXL. Source