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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 Fishbaugh Family Eyecare, 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.

Woman holding contact


Causes of Keratoconus

Couple embracing

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 Fishbaugh Family Eyecare

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.

Man holding cartoon eyes


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 Fishbaugh Family Eyecare

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 Fishbaugh Family Eyecare 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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34 Reviews
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- Nov. 05, 2024
Best eye exam I have ever had!! Everything was explained so claerly
- Oct. 24, 2024
Always have a great experience at Fishbaughs. He has taken great care of my family
- Sep. 11, 2024
Came to Fishbaugh family eye care with an eye issue. They have given me great care and explanation o... n what is going on and making sure I’m doing everything i need to get this issue cleared up . Highly recommend.
- Sep. 04, 2024
Great communication and concern for personal well being. Very professional and personal as well.
- Aug. 01, 2024
Dr.Fishbaugh was in the Lima office, my husband Jake was having bad trouble with his eyes,Jake has g... laucoma his pressure run high Doc is very concerned,.Doctor Fishbaugh came from Lima after close to the St.Henry office after closing time just to see Jake. That made us feel so SPECIAL, Dr Fishbaugh even called from his personal phone to let us know he was running a little behind on the time we was told he would be there. NEVER have we been treated so SPECIAL!!!!. Dr.Fishbaugh truley cares for his patience..I don't know of any doctors that care as much as Dr.Fishbaugh does of his CLIENTS. YOURS TRULEY JODI YORK
- May. 28, 2024
I recieved quick and throught I exam. Everything was explained to me as they did the exams. They wer... e very helpful when I had to pick out new frames!
- Jan. 09, 2024
Awesome place to get glasses
- Dec. 14, 2023
I just started going to Fishbaugh’s a year ago and have been treated very well. I have been in and... out of many eye doctor’s offices and have seen many eye care providers during my life due to my high prescription. However, I see myself continuing to stay and get treated at Fishbaugh’s. From my experience the doctors here also are very well trained in their practice and the hold their practice and care to the highest priority. The staff is very friendly and quick to making sure the needs of the patient are taken care of. Highly recommend going to Fishbaugh Family Eye care to take care of your vision.
- Dec. 14, 2023
Very professional and friendly staff. They saw me on the same day I called. Was in and out quickly....
- Dec. 09, 2023
I always have a pleasant experience. Everyone there is friendly and knowledgeable, and I can always ... count on getting in and out in a timely manner.
- Dec. 06, 2023
Great doctors and staff!
- Nov. 16, 2023
I have been coming to this eyecare facility for several years. Recently I had an emergent eye issue... that was incredibly stressful, they were able to work me in the same day with no question. The staff and providers are incredibly kind and knowledgeable. I have never had a more comprehensive eye exam, and would not hesitate to recommend their office for any and all eyecare needs.
- Nov. 16, 2023
I've always had a great experience at this facility! The doctors are great and staff is so caring an... d accommodating! They got me in so quick!
- Oct. 21, 2023
I woke with alot of blood in eye that continued to get worse throughout the day at work. I called a... t 1pm and they were able to see me at 330pm that same day. I wasn't a current patient at all. They were very accommodating, friendly, through, and got me seen and out in less than an hour. I highly recommend!
- Oct. 08, 2023
My daughter had some irritation in her eye over the weekend, and I reached out to Dr. Fishbaugh Sund... ay morning. Within an hour he met us at his office. Greatly appreciated the quick response and service on a Sunday morning.
- Sep. 29, 2023
Been going here for years! Great staff...always feel like I'm in good hands, recent experience with ... my eye problems are getting resolved and makes life more enjoyable for me..thanks to all the staff n Dr Fishbaugh
- Sep. 27, 2023
My daughter came down with conjunctivitis yesterday and noticed it when I picked her up. So I decide... d to call quick to get an appointment scheduled for the next day if possible. They actually told me to come in quick, even tho they were going to be closing soon , and I’m so grateful and appreciative for it. I have been going here for years and love it! I have never had problems with getting in and they have great customer service. Definitely would recommend to anyone! I think they have a great team and I just wanted to thank them!
- Aug. 22, 2022
The doctor and staff are very compassionate and caring. They do everything they can to accommodate a... patient's schedule. They are very professional and knowledgeable. They take time to explain things thoroughly. The facility is very up-to-date, modern and clean. It is well worth the drive from St Mary's.
- Mar. 22, 2022
The experience every time I am at Fishbaugh Eye Care is pleasant. They make it a personal experience... . They never have a wait and they personally have staff to help you through every step by step process of picking out glasses, etc. Now the Doctors, Dr. Fishbaugh is the best eye doctor I have ever been to. He is thorough, works great with adults and children and his doctors that work with him are also great (which always makes me nervous if you can't see your main doctor, but they are great too). If you want quality eye care and the comfort of knowing that the doctor is actually caring about you, go to Fishbaugh Eye Care Also, the drive is worth it even if you aren't in St. Henry IMO
- Feb. 23, 2020
I scheduled an appointment and got in less than 24 hours later. They even had my contacts in stock a... nd I was out in under 2 hours. Would highly recommend

View All 34 Reviews

Your Keratoconus Treatment Specialist in St. Henry

Our optometry practice in St. Henry

Photograph of Michael  Fishbaugh
Hours
  • Monday 8:00 am - 5:00 pm
  • Tuesday 8:00 am - 5:00 pm
  • Wednesday 11:00 am - 7:00 pm
  • Thursday 8:00 am - 12:00 pm
  • Friday 9:00 am - 1:00 pm
  • Saturday Open the 1st and 3rd of the month. Hrs 8am-12pm.
  • Sunday Closed
Insurance Plans
  • Medicare
  • Anthem
  • VSP
  • EyeMed
  • Davis Vision
  • Superior Vision
  • Buckeye Health Plan
  • Medicaid

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Clear Vision, Bright Future

Navigating Keratoconus Together

(419) 678-8800