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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 Modern Eyes At Alafaya, 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 Modern Eyes At Alafaya

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 Modern Eyes At Alafaya

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 Modern Eyes At Alafaya 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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222 Reviews
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- Sep. 29, 2024
I just moved from Md and needed a new eye Doctor seeing as that my glasses were nearly 18 years old ... . πŸ˜– The staff had the BEST customer service , the Doctor was thorough told me things my previous Doctor should have but never did. Everyone had smiles on their faces making the environment very inviting and warm . I only came for an exam to get my prescription and order online but ended up with a brand new pair of glasses! Thank you Modern Eyes!
- Sep. 24, 2024
Dr. Mondesir was amazing and made my 9 year old feel so comfortable. He was very good at explaining ... everything and answering any questions I had. His staff was also very friendly and the building was in great order and very clean. Overall we had a great experience! Glad we found Modern Eyes.
- Sep. 21, 2024
Excellent service & staff
- Aug. 26, 2024
Wonderful experience. Dr. Mondesir was very patient explaining the procedure for CRT using Ortho K ... and ensured we understood everything. My son felt comfortable to ask questions and discuss his eye care with the doctor.
- Aug. 21, 2024
Best eye doctor in the area!!!
- Apr. 14, 2024
Best eye doctor ever!!!
- Feb. 09, 2024
This office is the best! I absolutely love the staff & them in wanting to help you, I’ve had to ch... ange my prescription twice & my frame once & they were so amazing in helping me do that, I would highly recommend! I will be coming here for a long time!
- Feb. 09, 2024
Modern Eyes is the best eye care establishment I have experienced. The Optometrist is pleasant a n d... thourough along with the staff. Hazel is #1 hands down. She goes out of her way to ensure you are taken care of along with her beautiful smile and energy. I highly recommend Modern Eyes!
- Jan. 25, 2024
Helped me out more than I can say!!
- Dec. 21, 2023
Dr. Mondesir and his staff were amazing!! The check-in process was very easy and they were able to g... o through the pre-exam in a timely manner. I really enjoyed how easy it was to understand Dr. Mondesir's information and responses to concerns about my vision. I definitely recommend this doctor and his staff!
- Dec. 21, 2023
Exceptional service from the moment you walk through the door to the time you leave. Very thorough a... nd helpful every step of the way.
- Dec. 21, 2023
Staff was very friendly and accommodating. Optometrist is very knowledgeable and truly interested i... n your office visit. I was extremely happy overall with the entire experience. Kudos to the whole team!!
- Dec. 18, 2023
It was my first time dere with the kids and i like it the workers are so nice and also the eye docto... r is a grate doctor my sons like how the doctor take good care of them. Modern eyes thanks for such a grate sevice we will be back again.
- Dec. 13, 2023
The employees were very kind and patient and very pleasant. I would recommend Modern Eyes anytime
- Dec. 05, 2023
The services that I have received was great and all my questions were answered
- Nov. 22, 2023
They are very patient and helpful. If you want a genuine doctor come here. I love it here!
- Nov. 13, 2023
From the parking lot with the handicapped accessible parking spaces to the friendly faces when you e... nter. Mrs. Oweta , Danilsha , Hazel & The other front office staff are all very professional and friendly . Dr. Brandon Mondesir was very patient and explained the different tests and procedures to properly give the best & most thorough eye exam. The company takes most insurances including Medicaid , Medicare and most private insurances like VSP.
- Nov. 08, 2023
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- Nov. 07, 2023
Modern eyes has a very calming atmosphere and the staff is very nice and professional so is the ey... e doctor.
- Oct. 27, 2023
I’m very happy to have Dr. Brandon Mondesir as my eye doctor. He’s very patient, calm, attentive... and knowledgeable of what he’s doing. His staff are very helpful, supportive and patient. Thank you Modern Eyes at Alafaya. πŸ‘

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Navigating Keratoconus Together

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