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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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407 Reviews
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- Mar. 20, 2025
Amazing staff!! They are all very helpful and wonderful Thank You Brooke for helping me
- Mar. 12, 2025
Been using Visionary Optometry for 20 yrs. Micah and Casey have are a great team. Best anywhere
- Mar. 07, 2025
Great Service!!
- Feb. 28, 2025
This was a great experience for first timers at the eye doctor. Brooke was AMAZING with my daughter.... She made her (us) feel so comfortable. Jamie was great and informative. Dr. Was very nice and patient.
- Feb. 10, 2025
I'm a welder and fabricator I got metal in my eye from grinding on steel. My employer sent me to thi... s office. The staff is very nice. And their office is nice and comfortable. Dr Gerard did a great job getting the steel out of my eye. He's extremely professional and cares about what he's doing. They got me in and out in a timely manner thank you.
- Feb. 10, 2025
He found the problem with my eyes that no one else found for years. I now can see and didn't realize... how bad I couldn't see. Thank you so much!
- Feb. 09, 2025
Eye exam was very thorough. Staff was friendly. Good selection of eyeglass frames at a reasonable pr... ice.
- Feb. 08, 2025
Dr. Gerard is great doctor very thoughtful, thorough and knowledgeable. Staff is very friendly and ... helpful as well:))
- Feb. 04, 2025
I can see like magic after just one exam and everything was done correctly the first time! 👏👏�... ���👏 I’ve had so many disappointing experiences elsewhere, many elsewheres 🙃 I’ve just been absolutely blown away impressed since I got my new glasses. 🤓 It’s a miracle I can see again! 👏 WILL BE BACK HERE AGAIN AND AGAIN 👏
- Feb. 04, 2025
I have always had positive experiences with Vision Optometry, Dr. Girard and his friendly and welcom... ing staff. The doctor is knowledgeable and very thorough in his exams. The staff is awesome and the equipment & environment are both very clean and well maintained. I would recommend, and have, this doctor and location to anyone in need of an excellent optometrist.
- Jan. 30, 2025
Amazing Doctor and staff. I have been going there for a few years now. Super friendly and knowledgea... ble with a great selection to choose from.
- Jan. 05, 2025
Best eye doc and staff in FL!
- Dec. 28, 2024
Great experience. Professional and kind staff. Great prices with my insurance.
- Dec. 13, 2024
Dr. Girard explained what he was doing and why. Answered all my questions and was not rushing throug... h his examination of my results. The staff was very friendly and professional. I would highly recommend Visionary Optometry.
- Nov. 29, 2024
Amazing doctor and great staff.
- Nov. 21, 2024
Thank you for being so professional and personable over the years. You deserve 10 stars!
- Nov. 20, 2024
Excellent optometry practice. Dr. Girard and his staff are all highly qualified professionals and h... ave a real knack for putting their patients at ease. Dr. Girard discusses your exam and finding with you in plain language. He is one of the best eye doctors I have ever had. Highly recommend this business.
- Nov. 19, 2024
Always a great experience with Dr. Girard and staff. Friendly and professional.
- Nov. 12, 2024
The staff and doctor were very helpful and friendly.
- Nov. 09, 2024
The doctor and staff are absolutely fantastic.

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Your Keratoconus Treatment Specialist in Cocoa

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Navigating Keratoconus Together

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