Close-up of woman's eye

Understanding Keratoconus and the Role of Scleral Lenses

(407) 647-3937

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 Lake Howell Eye Associates, 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

Close-up of eye

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

Close-up of eye

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 Lake Howell Eye Associates

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 Lake Howell Eye Associates

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 Lake Howell Eye Associates 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
5.0
554 Reviews
5
4
3
2
1
- Feb. 06, 2025
Dr. Charnell is excellent. He's friendly, thorough, professional and always has a smile on his face.... Office wait is always less than 5 minutes if any. Staff is also very friendly and great
- Jan. 29, 2025
Totally friendly, ourteous, efficient. Explained every procedure. Made suggestions. Not pushy. W... ould recommend to everyone.
- Jan. 18, 2025
Great facility. Friendly and professional staff.
- Jan. 10, 2025
Staff were very professional, answered any question I had. Was in and out quickly
- Jan. 07, 2025
Great office and staff! ♥️
- Jan. 03, 2025
Great care! My new eye doctor and care team!
- Jan. 02, 2025
Cordial, professional and timely experience as always. Looking forward to getting my new glasses!
- Dec. 19, 2024
Highlyrecommend! The staff was incredibly friendly and welcoming, making me feel comfortable from th... e moment I walked in. The doctor was outstanding, demonstrating a deep knowledge of my concerns and taking the time to thoroughly explain each step of the process. I truly appreciated their attentiveness and the way they listened to my questions, ensuring I felt informed and cared for throughout my visit. Overall, it was a fantastic experience!
- Dec. 19, 2024
Caring, compassionate, thorough, and professional office and medical staff! Extremely pleased! Bl... ess you all!
- Dec. 16, 2024
In a world where personal touch and the concierge feel is becoming less and less common, it’s nice... to still find at LHEA. I highly recommend them to care deeply for your eyes! A+++
- Dec. 09, 2024
As always, a great experience. Everyone so efficient and friendly. Quality healthcare!
- Dec. 04, 2024
There is a reason for the trove of 5 Star Reviews! Stop looking this is the place!
- Nov. 26, 2024
Love ❤️ Lake Howell Eye Associates! I've been going here for what seems like 30 yrs, but really ... only 11 years! They are local, offer everything and are the BEST!
- Nov. 22, 2024
Fast is friendly, personable, and we were in and out. I highly recommend them. Can't wait for my mom... 's eyeglasses to arrive. The doctor was very kind to mom.
- Nov. 18, 2024
I have been going there for many years. Great service every single time, friendly staff and provider... s. I highly recommend them, 20 stars for me ❤️
- Nov. 16, 2024
Enjoyed the visit. The Dr was very thorough and personable.
- Nov. 16, 2024
My husband and I have been going to lake Howell eye associates for a couple years now. It’s always... a pleasant experience. Down to earth staff that makes you feel comfortable. They truly take their time and the doctor is very thorough and answers all my questions with details. This is our permanent eye doctor place!! 😊
- Nov. 15, 2024
Excellent service and staff. Very friendly, knowledgeable and attentive.
- Nov. 13, 2024
Best in town. Always able to get you in quickly and the staff are exceptional.
- Nov. 07, 2024
Everyone was so helpful and friendly. I cannot wait for my new eyewear !!

View All 554 Reviews

Your Keratoconus Treatment Specialist in Maitland

Our optometry practice in Maitland

Photograph of Christopher Charnell
Hours
  • Monday 9:00 am - 6:00 pm
  • Tuesday 9:00 am - 6:00 pm
  • Wednesday 9:00 am - 6:00 pm
  • Thursday 9:00 am - 6:00 pm
  • Friday 9:00 am - 6:00 pm
  • Saturday Closed
  • Sunday Closed
Insurance Plans
  • Medicare
  • United Healthcare
  • Cigna
  • Spectera
  • EyeMed
  • Davis Vision
  • Humana
  • Tricare
  • UMR
  • Aetna
  • AlwaysCare
  • Avesis
  • Firstlook / always care
  • Heritage Vision Plans
  • National Vision Administration (NVA)
  • VBA
  • Vision Care Direct
  • United Health Care Community Plan
  • Multiplan

Close-up of eye

Clear Vision, Bright Future

Navigating Keratoconus Together

(407) 647-3937