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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 Bethany Vision Clinic, 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 Bethany Vision Clinic

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 Bethany Vision Clinic

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 Bethany Vision Clinic 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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93 Reviews
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- Sep. 20, 2024
Had a great experience with Dr. Engel & staff! The techs are funny and friendly, and the doctor is k... ind. Welcoming atmosphere and good frame selection.
- Sep. 17, 2024
Dr Engel is always great. He’s professional and knows what he’s doing. Has my vision in his best... interest.
- Aug. 23, 2024
Excellent!!!
- Aug. 20, 2024
Nothing but good things to say about the staff. Very easy to work with and very knowledgeable.
- Aug. 20, 2024
Highly recommend Bethany Vision Clinic. Very satisfied with my experience.
- Aug. 04, 2024
Always enjoy coming here. It is a very comfortable atmosphere and they always are very friendly. The... exams are very thorough.
- Jul. 23, 2024
Bethany Vision Clinic has changed our lives...Dr. Engel made such a huge improvement for our son and... he will be our forever EYE guy!! His staff is simply amazing and always willing to help!!
- Jul. 16, 2024
Personal service and a real attempt to do what they can to solve or at least improve your issues and... to fit you in in an emergency
- Jun. 26, 2024
My experience with Bethany Vision Clinic the past several years has been excellent. In my opinion, t... he best eyecare facility in Lincoln. Dr. Engel's and staff are top notch!
- May. 22, 2024
Dr. Engle and Staff are always kind, efficient and swift!!!!
- Oct. 28, 2023
Personalized care and attention to details.
- Aug. 15, 2023
Recently moved to town, so needed to find a new eye doctor! I was very impressed and pleased by my v... isit with the entire staff! From the moment I walked into the door, the staff was very welcoming! The doctor was excellent! Picking new frames was easy! I am very pleased and would highly recommend Bethany Vision Clinic!
- Jun. 29, 2023
Bethany Vision Clinic is wonderful! They are friendly, patient, hassle free & great communicators. A... small hometown feel in the city.
- Dec. 29, 2022
Great people very professional
- Feb. 24, 2022
Dr. Engle listens!
- Feb. 17, 2022
I've been going here for over 15 years. After they changed owners a few years ago, I love it even mo... re. Staff is very friendly and treats you like a friend or acquaintance rather than a customer. The Dr. takes his time to explain things so you understand them and makes time to get you in very quickly if an urgent eye issue happens.
- Dec. 20, 2021
Very friendly, helpful staff. We really like the doctor and all the opticians
- Nov. 11, 2021
Dr. Engel was efficient and thorough and answered all of my questions. I love the contact lens polic... y to send home for ten days and then follow up to make sure they are working for you!
- Nov. 06, 2021
Always great, friendly service and a thorough exam. Highly recommend Dr Engel and his staff!!
- Oct. 12, 2021
Bethany Vision has the most terrific, friendly staff! Scheduling an appt has always been easy, and a... ppointments always quick. The waiting area looks cozy with a fridge, TV, magazines, and more, though I've never been able to enjoy it because I never have a wait! Dr. Engel has always provided tremendous care, taking the time to educate me on the overall health of my eyes and how to ensure healthy vision for years to come. He has helped to correct so many vision issues, and I cannot thank him enough. Love, love, love Bethany Vision Clinic!

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Your Keratoconus Treatment Specialist in Bethany

Our optometry practice in Bethany

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Hours
  • Monday 9:00 am - 5:00 pm
  • Tuesday 9:00 am - 5:00 pm
  • Wednesday 11:00 am - 7:00 pm
  • Thursday 9:00 am - 5:00 pm
  • Friday 9:00 am - 5:00 pm
  • Saturday Closed
  • Sunday Closed
Insurance Plans
  • VSP
  • EyeMed
  • Davis Vision
  • Spectera
  • Avesis
  • Medicare Part B

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Clear Vision, Bright Future

Navigating Keratoconus Together

(402) 466-6070