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Home » Your Eye Health » Eye Conditions » Keratoconus

Keratoconus

Keratoconus is a rare, progressive disease that affects the cornea, which is the clear, transparent layer at the front of the eye. The cornea is responsible for focusing the light that comes into your eye onto the retina for clear, sharp vision. Keratoconus causes the corneal tissue to thin out and bulge into a cone-like shape which deflects the light entering the eye and distorts vision.

Causes of Keratoconus

The exact cause of keratoconus is not known. The disease usually starts to appear in the late teens or twenties and can affect one or both eyes, usually progressing at a slow pace and slowing or stabilizing after around 10-20 years. It is believed that there is a genetic component as often it runs in families.

New research suggests that there may be a link between keratoconus and oxidative damage which weakens the cornea. There is also an association with overexposure to ultraviolet (UV) radiation from the sun and chronic eye irritation.

Symptoms of Keratoconus

With the gradual change in the shape of the cornea, vision becomes progressively worse. The patient may experience nearsightedness, astigmatism, distorted vision (straight lines look wavy), blurry vision, light sensitivity and glare, and eye redness or swelling. Typically, patient’s eyeglass prescription will change often as the vision becomes worse and contact lenses will be difficult to wear due to discomfort and improper fit.

When keratoconus become more severe (which usually takes a long time however on occasion can happen rather quickly), the cornea can begin to swell and form scar tissue. This scar tissue can result in even further visual distortion and blurred vision.

Treatment for Keratoconus

In the early stages of the disease, standard eyeglasses and soft contact lenses will usually correct the nearsightedness and astigmatism experienced by the patient. As the disease progresses however, glasses and soft contact lenses may no longer correct vision and soft lenses may become uncomfortable. This is when other forms of vision correction will be recommended.

Gas Permeable and Scleral Contact Lenses
At the more advanced stage of keratoconus rigid gas permeable (RGP) contact lenses, scleral or semi-scleral lenses may be used for increased comfort and visual acuity. Since they are more rigid, RGP and scleral lenses are able to create a smooth, round shape around the cornea, creating a smoother surface for better vision. Scleral or semi-scleral lenses have a larger diameter which covers the entire cornea and reaches over into the white part of the eye, which is known as the sclera. Many patients find these more comfortable than regular RGPs and find that they move around less when the eyes move. The main disadvantage of these rigid lenses is that for some, they are somewhat less comfortable than soft lenses and they must be continually refit as the shape of the eye changes.

Whether it is glasses or contact lenses being used to correct vision, patients will likely have to undergo many tests and prescription changes as their vision needs change.

Intacs
Intacs are small, surgically implanted plastic inserts which are placed on the cornea to flatten it back to shape. Usually they are able to restore clear vision, with the continued use of glasses. Intacs are often recommended when contact lenses and eyeglasses are no longer able to correct vision adequately. Intacs take about 10 minutes to insert and can delay the need for corneal transplant.

Corneal Crosslinking (CXL)
In corneal crosslinking, a UV light and eye drops are used to strengthen and stiffen the cornea which helps to reduce bulging and restore the cornea to its natural shape.

Corneal Transplant
When corneal scarring occurs and eyeglasses and contact lenses no longer help, doctors may suggest a corneal transplant to replace the corneal with healthy donor tissue to restore vision. Most patients will still require eyeglasses or contact lenses for clear vision following the transplant.

Keratoconus is a condition that requires ongoing treatment by a qualified eye doctor. If you or a loved one suffers from this disease make sure that you find an eye doctor that you like and trust to accompany you on this journey.

Book with Dr. Viker

Book with Dr. Gustafson

To our valued patients,

At The Eye Doctors, Inc. the health and well-being of our patients is at the core of everything that we do. In light of the rapidly changing situation and the spread of COVID-19 we made the difficult decision to close the clinic on Tuesday, March 17 th.

At this time, the Wal-Mart Vision Center remains open limited hours for urgent glasses repairs, pick-ups of existing orders and new contact lens orders. The vision center is open every day from 10 AM to 2 PM and on Tuesdays from 6 AM to 2 PM, with the hour of 6 AM to 7 AM reserved for senior citizens.

If you are experiencing an eye emergency, please call 952-955-4427 to leave a message for one of the doctors. Messages will be checked Monday through Saturday from 9 AM to 5 PM.

We are monitoring the situation closely and will re-open when it is safe to do so. We look forward to seeing you when things improve and thank you for your continued support of our practice. Please continue to our website for further information.

Dr. Melissa Viker & Dr. Britt Gustafson

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The Eye Doctors, Inc. COVID-19 Information:

Our clinic closed on March 17th and will remain closed until it is safe to re-open.  Please watch our website and Facebook page for updates.

Urgent or Emergent Eye Concerns

If you have an eye emergency, we are here to help.  Please call 952-955-4427 and one of the doctors will return your call.  The messages are monitored Monday through Saturday between 9 AM and 5 PM.  Eye emergencies include (but are not limited to): eye pain, a recent onset of redness in one or both eyes, flashes of light or sudden onset of new floaters, double vision, and sudden change/worsening of vision in one or both eyes.

Glasses and Contact Lens Orders:

The Wal-Mart Vision Center is open daily at this time from 10 AM to 2 PM and 6 AM to 2 PM on Tuesdays for limited services. The hour of 6 AM to 7 AM on Tuesdays is reserved for senior citizens.  One optician is on duty to provide urgent glasses repairs and adjustments; at this time no new orders for glasses are being accepted. Existing orders of contact lenses and glasses may be picked up from the vision center.  New orders of contact lenses can be placed in store and will be shipped to your home if we do not have the lenses in stock. Additionally, you may order contact lenses at www.walmartcontacts.com

Contact Lens Safety

There is no evidence that contact lens wearers are at greater risk for a Corona Virus infection, per the American Optometric Association Cornea and Contact Lens Section.  Please follow the below tips:

  • Wash and dry your hands thoroughly before handling contact lenses
  • Avoid using contact lenses if you are ill with any cold or flu-like symptoms
  • Reduce your risk for infection by avoiding sleeping, napping, swimming or showering in contact lenses
  • Replace your contact lens case every 2 months
  • Use fresh contact lens solution each time you store your lenses
  • Do not reuse single-use/daily disposable lenses