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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 RiverPark EyeCare, 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 RiverPark EyeCare

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 RiverPark EyeCare

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 RiverPark EyeCare 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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- Oct. 29, 2024
Dr Martin is very professional and has great rapport with her patients. It’s obvious she knows her... profession well, I highly recommend her for your eye care!
- Oct. 19, 2024
Warm, friendly and knowledgeable staff. Dr. Martin is kind and takes time to discuss the exam and an... y concerns.
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I have been a patient of Dr. Hamilton's for years. I always receive an excellent exam and great ser... vice!
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Dr. Martin and the staff were great.
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Wonderful staff and even better doctors! Love my yearly check ups, and feel confident they can take ... care of me in case of eye emergencies
- Aug. 08, 2024
Knowledgable, prompt, courteous and responsive.
- Aug. 07, 2024
Dr. Martin and her staff continue to be the most amazing team. They take care of our family with the... utmost care and make sure we leave with questions answered and next steps carefully laid out. Dr. Martin is THE BEST!!
- Jul. 26, 2024
Excellent exam and service.
- Jul. 11, 2024
Courteous, professional staff. The work areas are well equipped.
- Jul. 04, 2024
Dr. Richardson cares about her patients and is very thorough.
- Jul. 01, 2024
I would highly recommend this team. It started from my appointment request until the time I departed... from my Saturday appointment. Absolutely superior customer service. I am very observant of customer service and to was exceptional. Thank you for giving me the opportunity to post this public feedback. The facility was also spotless! Clean and professional atmosphere! Honey these are my eyes! I was very pleased. 10/10 to say the least.
- Jun. 28, 2024
Dr. Richardson is wonderful! She is very thorough as well as kind and understanding. I always feel w... ell taken care of when I visit Riverpark Eyecare. Highly recommend!
- Jun. 18, 2024
Amazing care, clean environment, all around great!
- Jun. 17, 2024
I am very satisfied with my visit to Riverpark Eyecare. They are completely thorough and are always ... courteous & helpful. I have referred several friends and family members to them. Try them out, you will agree!!!!!
- Jun. 12, 2024
After 10 yrs was able to see my favorite eye dr. DR Martin has been mine and my girls dr for years. ... She's very sweet and caring. Takes her time and explains things. Would highly recommend her
- Jun. 12, 2024
Everyone is always so personable & friendly. Loved chatting with Olivia yesterday, as she did some ... pre testing before seeing my doctor. And, Dr. Martin is the best of the best!!
- Jun. 06, 2024
Excellent eye doctors that care about the patient.
- Jun. 01, 2024
Very attentive

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Navigating Keratoconus Together

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