A side note: You may also hear of a General Ophthalmologist and wonder if you should see one of those eye doctors as well, or your primary care doctor may refer you to see an “ophthalmologist” but did not specify what type. For severe cases of keratoconus, a corneal transplant (keratoplasty) may be required. The right optometrist can fit you with proper glasses and contact lenses and will be the key player to help you see the best. If lucky, the average soft contact lens that normal corneas can wear will give decent enough vision. When this occurs, your treatment options can be severely limited until the only hope is to get a corneal transplant and replace the parts of the cornea that is clouded. Better technology. Words tend to have shadows around them or even look double. A corneal specialist will not only be able to diagnose you with keratoconus, but can also provide good insight into surgical treatments that are available. We hear it almost everyday from our patients with keratoconus. It can progress more quickly in one than the other, and it can get worse in one eye and not the other. An informed decision is a wise decision and we believe at Insight Vision Center Optometry that there is no greater gift we can give you than greater Insight into your vision. And with the correction, you may be able to see your computer screen again and work just as fast (if not faster) than your co-worker sitting next to you. A normal cornea will be a very smooth round island that is not very high or steep. It does spontaneously get a little better but more likely progresses. So most patients say that scleral lenses are hands down more comfortable than RGPs. However, as the corneal thinning worsens we must rely on specially fitted contact lenses to reduce the distortion and provide better vision. In order to prevent graft rejection, you usually were prescribed special medicated eye drops to prevent infection and complications. the central part gets thinner. In eyes with keratoconus, free radicals and collagen instability damages the support structure responsible for retaining proper corneal shape. So now that you have learned about all the treatment options available to help keratoconus — how do you decide which is the right one for you? They may be correct, but let’s make sure you have done your due diligence first with non-surgical treatment options for keratoconus. Or perhaps a close loved one has keratoconus. Have a happy and healthy 2021 everyone. Every phone call or interaction is friendly. 4, pp. This is due to the dramatic change that occurs when the bulging and distorted cone is replaced with a new smooth donor graft. Some patients need surgery while others need specialty contacts, eyeglasses or even a combination of all of the above. A comprehensive eye exam and lens fitting is essential, as keratoconus can vary greatly from person to person. It is still in the process of being recognized by insurance companies however and is not always considered a covered procedure under insurance. It is not uncommon for patients to see 20/200 with glasses; however, with scleral contact lenses, their vision may improve to 20/30 or even 20/20. Even when the vision is best corrected with glasses or contact lenses, it is important to remember that keratoconus can still progress and worsen. J. In more severe cases a scarring or a circle may be seen within the cornea.. We consider your entire situation before giving our best recommendations. H. Wagner, J.T. Keratoconus usually develops in younger people between about 16 and 30 and progresses until about the age of 40. National Keratoconus Federation; https://www.nkcf.org/who-gets-keratoconus/ (Retrieved on 11-2-2017). Corneal cross linking is an in-office surgical procedure that combines riboflavin (vitamin B2) eye drops and ultra-violet light to the cornea in order to strengthen it. Traditionally, this procedure was called a penetrating keratoplasty (PKP or PK) and the full thickness of your cornea was removed prior to adhering the donor tissue. It’s time to stand up to that bully called Keratoconus and fight back, because Life takes vision. Well this FAQ is designed to hold your hand and walk you through life dealing with keratoconus, what you can expect, what you should do about it, and how you can go on living your life. IF YOU OR SOMEONE YOU KNOW IS SUFFERING FROM KERATOCONUS, DON'T WAIT - WE CAN HELP NOW. 223–232. They may also allow a better contact lens fit. It is often yellow or green color indicating that the land (your cornea) is a very even and rounded. But you need this job to support your family and in all other areas you are perfect for the job? 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