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Understanding Keratoconus and the Role of Scleral Lenses

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What is Keratoconus?

Kerataconus is a condition that affects the cornea, the clear front part of the eye. Although it might sound intimidating, understanding keratoconus and its available treatments can help you or someone you know find proper treatment and maintain clear vision.

At Eyeland Vision, we help patients with keratoconus achieve clear, comfortable, and healthy vision using scleral contact lenses. Contact us to schedule your appointment if you or someone you love has been diagnosed with a corneal condition.

Keratoconus is an eye condition where the cornea, which is normally round and dome-shaped, becomes thin and develops a cone-like bulge. This irregular shape affects the cornea's ability to properly focus light onto the retina, resulting in blurry and distorted vision.

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Causes of Keratoconus

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While the exact cause of keratoconus is still not fully understood, it is believed to be a combination of genetic and environmental factors. If you have a family history of keratoconus, you may be at a higher risk of developing the condition. Frequent eye rubbing, chronic eye irritation, and certain underlying conditions, such as allergies, can also contribute to its development.


Symptoms of Keratoconus

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Keratoconus typically starts during the teenage years and gradually progresses over time. The following symptoms may indicate the presence of keratoconus:

  • Blurred or distorted vision: Objects may appear distorted, and it can become increasingly difficult to see clearly even with corrective lenses.
  • Increased sensitivity to light: Bright lights may cause discomfort and glare.
  • Halos and ghosting: Seeing halos or ghosting around lights, especially at night.
  • Eye strain and fatigue: Eyes may feel tired or strained, especially after focusing on objects for extended periods.

Treatment Options for Keratoconus

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Several treatment and corrective options are available for keratoconus. The choice of treatment depends on the severity of the condition and the individual's specific needs. The options include:

  • Glasses or contact lenses: In the early stages, regular glasses or soft contact lenses may be sufficient to correct vision. However, as the condition progresses, specialized lenses become necessary.
  • Hybrid lenses: Hybrid lenses combine the features of rigid and soft lenses. They have a rigid center for clear vision and a soft outer ring for increased comfort.
  • Corneal cross-linking (CXL): This treatment aims to strengthen the cornea using a combination of riboflavin eye drops and ultraviolet light. CXL can help slow down the progression of keratoconus.
  • Scleral lenses: Scleral lenses are becoming increasingly popular for managing keratoconus due to their unique design, comfort, and optical clarity.

Scleral Lenses: A Promising Solution at Eyeland Vision

Scleral lenses are large, rigid lenses that vault over the cornea, resting on the sclera (the white part of the eye). Unlike traditional contact lenses, which sit directly on the cornea, scleral lenses create a tear-filled space between the lens and the cornea. This reservoir of fluid acts as a protective barrier, keeping the cornea hydrated and providing a smooth optical surface for improved vision.

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How Do Scleral Lenses Work?

Diagram explaining Keratoconus

Diagram explaining Keratoconus

When a person with keratoconus wears scleral lenses, the lens creates a uniform surface over the irregular cornea. This helps to reduce distortions and provide clearer vision. The liquid reservoir also moisturizes the cornea, reducing dryness and discomfort. In fact, some studies have found that patients with keratoconus who consistently wear scleral lenses have a much lower chance of needing a corneal transplant. This is due largely to the fact that scleral lenses protect the cornea and shield it from irritation due to blinking and other factors.

Scleral lenses are custom-made for each individual's eye shape and condition. They are highly durable and can usually be worn for longer periods without discomfort.

Effective Keratoconus Treatment at Eyeland Vision

Living with keratoconus can be challenging, but with the right understanding and treatment, individuals can achieve improved vision and a better quality of life. While various treatment options exist, scleral lenses have gained recognition for their ability to address the unique needs of those with keratoconus.

If you suspect you may have keratoconus or know someone who does, consult an eye care professional at Eyeland Vision who can guide you through the available treatment options, including the potential benefits of scleral lenses. Remember, early detection and intervention are key to managing this condition effectively.


Keratoconus FAQs

Can keratoconus be prevented?

Currently, there is no known way to prevent keratoconus. However, avoiding excessive eye rubbing and taking steps to maintain good overall eye health may help reduce the risk of progression.

Can scleral lenses be uncomfortable to wear?

While it may take some time to adjust to wearing scleral lenses, they are designed for comfort and improved vision. The liquid reservoir between the lens and the cornea helps keep the eyes hydrated, reducing discomfort often associated with other types of lenses.

Patient Reviews
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573 Reviews
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- Nov. 08, 2024
Professional appearance and people. Kind, considerate. Very modern equipment. Excellent service and ... customer service. Best glasses I've had for years.
- Oct. 25, 2024
Jesus helped me with my glasses he’s very professional and took his time with me as I take forever... and am very picky with choosing glasses, he even was showing me pairs that looked like the ones I was interested in 10/10 experience highly recommended <3 thank you Jesus
- Jun. 15, 2024
Went today for a virtual eye exam and was not disappointed!!! Everyone who assisted was so friendly ... and informative! Will definitely do another virtual eye exam on my next visit!!!
- Jun. 14, 2024
Absolutely love this place, everyone is so nice, patient, and personable. I won't go any where else ... for my eyes.
- Jun. 14, 2024
I was able to get scheduled the very next day i call! From the moment we walked in everyone was so k... ind! They explained every step and what every test was doing. I went to visit Dr.Andy and he was beyond helpful and kind. I will definitely be coming back! Highly recommend
- Mar. 31, 2024
Real friendly staff . Will bend over backwards in order to help you get the right eyewear that you n... eed.
- Jun. 12, 2023
Working for an optical office I was weary sending my mom here cause of the recent reviews. However m... y mother enjoyed it even though she's a pretty decent critic. Like another lady said in the other reviews, it went well with her. Thanks guys!
- May. 17, 2023
Dr. Kim took care of me, and the entire team made me feel very comfortable, welcomed, and enthusiast... ic to help me. I did my insurance intake online, so the confirmation and check in intake when I got there was very easy. During my exam, I was very comfortable and I genuinely feel like they took the time to truly do a thorough exam, while also explaining what was happening if I had questions. At the end of the “1 or 2” options, I was asked to close my eyes and Dr. Kim flipped through the lenses. When she stopped and asked me to look, I saw clearly for the first time in a long time. She also took time to thoroughly explain everything that was happening with my vision. Before this appointment, I had a dental appointment that absolutely brought me to tears solely due to how I was treated, and then again afterwards at my psychiatrists office. The entire highlight of my day was being at Eyeland and having such a positive experience. Thank you so so much to the entire Eyeland Team that I worked with
- Apr. 03, 2023
I visited Eyeland Vision on 3/29/23 for an eye exam. Dr. Kathy phan took care of me. I want to thank... Dr. Phan and her staff for an excellent and professional work, see you soon. Thanks.
- Mar. 02, 2023
After reading all of the reviews I was nervous about coming here. I'm glad I came though! I didn't h... ave any problems as the staff was extremely friendly and helpful. They gave me my prescription with no issues and didn't force me to try to buy glasses at all. They asked if I wanted to or not but that was it. I was aware of the retina exam before I came in, but they did tell me before I went back and asked if I was okay with that, which for some people might be a deal breaker as everyone has to do it to be seen there and it cost me $45 as most insurance companies seem to not cover it but I was perfectly fine to pay for it and do the exam. That's my personal preference though so that is something to consider. I love that the online appointment system was easy to set up and that they accepted my insurance (Tricare). The doctors were very nice and knowledgeable. I would come back here again!
- Sep. 29, 2022
My family and I are new patients of Eyeland Vision. We recently had a wonderful experience at our fi... rst appointment. Dr. Do & staff are Amazing, and took great care of us!
- Jul. 13, 2022
The appointment making process online is easy to use. The receptionist got me in right away. Everyon... e is smiles and helpful. Dr. Kathy Phan is the greatest. She listened to what I needed and gave me the best prescription ever. I need to see far away and very small details up close and my new glasses work perfectly. Thank you Eyeland Vision! I will be a repeat customer.
- Sep. 14, 2021
Fantastic clinic, look forward to going every time I need a check up. They have very up to date equi... pment and ensure you get a through exam all while being fast and friendly.
- Jul. 28, 2021
Staff was very professional and kind. The Doctor encourage questions and was very thorough in answe... ring. I like that her answers opened up discussion for further inquiry. I left understanding more than I anticipated to discover about the overall health of my eyes. Overall, the experience from the staff and Doctor exceeded my expectations.
- Jul. 21, 2021
The staff is professional and efficient. Waiting time is minimal. Doctor Phan is thorough and precis... e. She took her time and explained all of the procedures. Doctor Phan also inquired about my daily activities in order to better assess my vision needs. I would recommend this Optometrist and her staff to my friends and family.
- Jul. 08, 2021
To whom it may concern, My appointment with Eyeland Vision was great! They took the time to talk me ... through everything and made sure I understood what was being done and why. I had a great check up and will continue to go to them for my eye exams.
- Jun. 26, 2021
Everything was excellent, the staff and Doctors were friendly and professional. No long wait, in and... out.
- Jun. 24, 2021
I Absolutely love this place!! The doctors are very helpful and explain everything so good!
- Jun. 23, 2021
The staff was friendly and courteous and attended to me the minute I walked in the door. The prelimi... nary exams were speedy and I saw the doctor within minutes. I’m very happy and satisfied with my experience there and would recommend it to anybody
- Jun. 23, 2021
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Your Keratoconus Treatment Specialist in Northeast El Paso

Our optometry practice in Northeast El Paso

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Clear Vision, Bright Future

Navigating Keratoconus Together

(915) 821-6800