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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 Visionary Optometry - Dr. Micah Girard, 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 Visionary Optometry - Dr. Micah Girard

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 Visionary Optometry - Dr. Micah Girard

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 Visionary Optometry - Dr. Micah Girard 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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364 Reviews
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- Nov. 12, 2024
The staff and doctor were very helpful and friendly.
- Nov. 09, 2024
The doctor and staff are absolutely fantastic.
- Nov. 07, 2024
The office staff is very kind and helpful and efficient. Theres not a long wait. Dr.Girard very thor... ough and listens to your concerns. The facility is kept nicely cleaned and always smells wonderful.
- Aug. 08, 2024
Dr Girard is amazing. Best eye doctor I have been too. Great staff also. Give them a try they are ... fantastic.
- Aug. 04, 2024
Everyone from the receptionist to the technician and the wonderful Doctor was great 👍😃. He rea... lly cares. I 💕 him, .
- Jul. 29, 2024
Love the staff at Visionary Optometry! Dr. Girard is an excellent eye doctor.
- Jul. 09, 2024
This place is it! I felt so welcomed and comfortable. I was worried about keeping my appointment bec... ause my babysitter canceled on me. They not only welcomed the idea of me bringing my 4-year-old but they also had a play area to keep her entertained as I filled out my information on a user-friendly tablet. We started our appointment immediately afterward. Everyone we interacted with was kind and professional, especially the doctor. He was thorough in his exam and ensured I had no doubts. The shopping experience for glasses was surprisingly affordable, and the assistant helped me understand all my options, leaving me satisfied and happy. I highly recommend this optometry practice and can't SEE going anywhere else (pun intended).
- Jun. 19, 2024
Absolutely wonderful, my only regret is I had not gone here earlier. Don't put off your eye exam an... d I would not go any place other than here. Once you try this office you will never go anywhere else. I know I have received the top notch eye exam by an eye doctor who surpasses any words I could use in my recommendation.
- Jun. 17, 2024
They care about the customers
- Jun. 13, 2024
DR. GIRARD WORKS IN DETAIL AND DISCOVERED MY CATARACTS. HE ALSO CHECKED THE POSSIBILITY OF HAVING G... LAUCOMA DUE TO FAMILY CASES BUT AT THIS TIME I AM CLEAR. GREAT DOCTOR.
- Feb. 19, 2024
The entire staff were phenomenal with my six year old son! Very patient and compassionate! Highly re... commend!!
- Feb. 12, 2024
First time patient and was absolutely thankful for there care and patience glad to have them as my n... ew optometrist.
- Feb. 10, 2024
Dr Girard and his staff are outstanding! I’ve been a patient of theirs for many years. I have my r... outine eye exams done every year and have bought many sets of glasses for them. They always remember me and treat me with kindness. Special shout out to Casey. She is SO sweet and helpful! Every time I order glasses or just need an adjustment, she does it with a smile and sense of humor. This type of customer service can be rare these days but very much appreciated. THANK YOU!! Dr Girard you have a long time patient who recognizes excellence in your services and staff.
- Sep. 26, 2023
I love Visionary Optometry! I’ve been going to them since 2008 and they’ve always accommodated m... y every need. The staff is first class and Brooke and Casey put up with me no matter what. They’re awesome!
- Sep. 23, 2023
Great service. Always a relaxed and smooth visit. All vision details explained in simple terms. Sati... sfied patient going on 5 years.
- Sep. 18, 2023
Have gone there over 20yrs. All of staff very knowledgeable and friendly. Dr is great. Would high... ly recommend.
- Sep. 10, 2023
Staff is professional and very nice. They are caring and want to make sure you are aware of each tes... t process, and what it's for. Dr. Girard is very knowledgeable and thorough. He makes sure to go over every test with you to assure you that you are getting the best care for your eyes. He is patient and willing to answer any and all questions I have about the changes in the health status of my eyes.
- Sep. 09, 2023
First visit and appreciated the friendly staff and professional eye care.
- Sep. 06, 2023
Great doctor and Office ladies are very polite and know their job! Got glasses and I love them. I ju... st went back to get fitted for contacts and it was quick, easy and I don’t even feel them. Thank you Dr. Girard’s you are awesome!!!
- Aug. 29, 2023
The best in the area super friendly and fast

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Your Keratoconus Treatment Specialist in Cocoa

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Clear Vision, Bright Future

Navigating Keratoconus Together

(321) 638-3931