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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 Vision Care Crossroads, 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 Vision Care Crossroads

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 Vision Care Crossroads

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 Vision Care Crossroads 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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197 Reviews
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- Nov. 15, 2024
Professional doctors! Patient and kind staff! Clean and welcoming environment!
- Nov. 05, 2024
Great service- prompt staff from beginning calling to remind for appointment- checking Insuarance be... fore hand- taking history everything was fabulous. Benjamin Stienman - DO is super polite, patient and takes good time to do a thorough exam and a lot of time to answer all questions. Highly appreciate it and highly recommend the whole team! Best wishes! 🙂
- Nov. 01, 2024
Dr. Liaw and the clinic staff did a great job!
- Oct. 15, 2024
Professional and courteous as always. Highly recommend Dr Hsu. Staffs are very friendly with promp... t service.
- Oct. 04, 2024
Friendly staff, efficient process and a kind and knowledgeable doctor!
- Sep. 11, 2024
I went here for my eye exam, Dr Jessica was really good and she answered all my questions patiently....
- Sep. 05, 2024
Both of my kids go to see Dr. Lee for their OK lenses that they can wear at night. One of my daughte... r's eyes is a little bit not that normal and she needs repeated adjustments for her contacts visit after visit. Dr. Lee works with us very patiently and spent hours and hours checking/measuring/talking with us so that the lenses can fit her eyes perfect to achieve 20/20 day light vision. Really awesome doctor Dr. Lee who puts patient's needs on top of everything else.
- May. 24, 2024
Dr. Mindy Lee was so thoughtful in her assessment. Showed care by carefully explaining and made sure... that I understood. I would definitely recommend Vision Care Crossroads to anyone that need a great optometrist.
- Apr. 25, 2024
I 100% recommend Dr. Sam Hsu. I have been going to see him for about 20 years and he has always bee... n friendly, courteous, knowledgeable, and willing to explain everything to a level of detail that satisfies my curiosity. He also has an amazing memory and it's like we just talked yesterday when I go to see him. See you next year Sam. Also, to give a little extra context about my 5-star rating. My insurance changed and I chose to pay out of pocket to continue to see him this year. The staff was very clear and helpful about what any tests and procedures would add to the bill.
- Mar. 24, 2024
Just wanted to give a shoutout to Dr. Sam Hsu - seriously impressive! I dropped by last month and ha... d an awesome experience. Dr. Hsu is a total pro, explained everything clearly and had a great knack for making me feel comfortable. What blew me away was how he knew the ins and outs of insurance. Saved me some cash by working out what my plan covered. Total lifesaver. Plus, the ladies at the front desk are always friendly and helpful, putting patient's needs at the first place. The clinic has a cool, laid-back vibe that instantly puts me at ease. Highly recommend
- Feb. 28, 2024
We have been visiting Dr.Hsu for more than a decade. what a wonderful doctor. I recommend to anyone ... for annual eye check ups
- Feb. 27, 2024
I had my first visit to Vision Care yesterday and my appointment was with Dr. Yu. She was amazing, s... o helpful and kind, as were the staff. I am happy to finally find a new eye doctor I trust. Thank you Vision Care & Dr. Yu!
- Feb. 10, 2024
Always great experiences here at this eye doctor's office. Both of the Doctors at this location are ... amazing. The front desk staff are friendly and efficient. I recommend 100%!
- Jan. 30, 2024
We've been going to Dr. Hsu for 20 years; he's great! We also really appreciate the staff wearing ma... sks for our visit.
- Jan. 29, 2024
Awesome staff, Awesome doctor & great selections
- Jan. 26, 2024
Dr. Minha Lee is skilled and professional and listens to her patients. The staff are great to work w... ith, too.
- Jan. 18, 2024
The doctor and staff are very professional and caring!
- Dec. 30, 2023
Our family has seen Dr. Sam Hsu for over ten years…always love our annual chats. Staff is efficien... t, consistent, and super helpful
- Nov. 07, 2023
overall great experiences! Doctors are professional, efficient, and nice to work with. Friendly admi... n staff as well!
- Nov. 02, 2023
Good place and very nice people including doctors.

View All 197 Reviews

Your Keratoconus Treatment Specialist in Crossroads

Our optometry practice in Crossroads

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Hours
  • Monday 9:30 am - 6:00 pm
  • Tuesday 9:30 am - 6:00 pm
  • Wednesday 9:30 am - 6:00 pm
  • Thursday 9:30 am - 6:00 pm
  • Friday 9:30 am - 6:00 pm
  • Saturday Closed
  • Sunday Closed
Insurance Plans
  • VSP
  • Medicare
  • Aetna
  • EyeMed
  • Anthem Blue Cross Blue Shield
  • Blue Cross

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Clear Vision, Bright Future

Navigating Keratoconus Together

(425) 883-9300