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Understanding Keratoconus and the Role of Scleral Lenses

(419) 227-2020

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 Eye Care, 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 Eye Care

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 Eye Care

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 Eye Care 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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131 Reviews
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- Jan. 08, 2025
I asked for reviews on Facebook for this location and most of my friends are on Facebook did not giv... e high recommendations. I was a little skeptical when I went today, but I found nothing wrong with the office or the doctor. I feel like the doctor did great with my four year-old son. My son was hyper. He didn’t understand all the doctors directions and he still did really well with him played games with him and made it a good experience for me. I have no complaints. This is the second doctor I went to and honestly, I had a better experience here than our last one.
- Aug. 20, 2024
Took my 15 mth old medical foster child for an appointment and Brandi made his needs a priority!! Br... andi is the reason he was scheduled here and will return for his future needs! Dr. Bankey was great with him and was really patient while trying to get the information for diagnosis, I would recommend her for anyone's Littles. Then there was Lindsay she was such a help with the little guy, he does not do well with new places or people. See you in a few months Ladies!!
- Jul. 26, 2024
Dr. Fishbaugh has very thorough and explained what each exam and there results were for daughter. Al... l staff were very welcoming.
- Jul. 18, 2024
As a disabled veteran I appreciate the care given to me yesterday by Dr. Fishbaugh and his staff. I... t was the most thorough and multiple eye testing I have ever had. I would highly recommend his office for your eye care needs.
- May. 17, 2024
We came here for the first time and we had Brandi up until we seen the doctor. And she is beyond ama... zing. So nice, and helpful with all questions we had! She did such a great job and such a warm greet from the beginning!
- May. 03, 2024
They were so helpful and nice from the moment I came in the door to the time I left! Always there to... give feedback on the many pairs of glasses I had to try on to find the perfect pair! Thank you Fishbaugh Family Eyecare for an awesome experience ☺️
- Apr. 25, 2024
Always a pleasant experience here at Fishbaugh! I have been bringing my boys here for the past few y... ears now and I have no complaints or issues. The staff is super kind and dedicated. Even though my boys have seen a different optometrist at every wellness appointment, they have all been so friendly and informative. You gals do a fantastic job, keep up the great work you all do!!!!!
- Apr. 03, 2024
Had a trip to the emergency room and with a misdiagnoses, went to Dr Fischbaugh and he took one look... at me and diagnosed me within 3 min. Saved my sight!! Then Dr Bankey worked with me for 3 months to prevent me from loosing sight....my heros!
- Mar. 28, 2024
Great people always doing patients great and discussing things with patients
- Mar. 20, 2024
Fishbaugh Eyecare is so through with their exams. The staff is knowledgeable and so patient and resp... ectful. I would recommend you go to them and you’ll never have to look for eye dr again.
- Feb. 12, 2024
Update, Brandy did awesome today. Answered all my questions and was able to help me understand some ... things that I was not understanding before my visit. The staff helped me with sunglasses and contacts. They had all the patients in the world To work with me and my eyelashes being in the way!!! Such an amqzing staff they have here. From the front desk staff to the nurse inside the room with the doctor to picking out glasses and contacts.and then trying contacts in. The doctor answered all of my questions and when I said I still don’t understand what the doctor was saying he slowed himself down and explained it to me. My eyes are dilated so I’m sorry if I misspelled the word or something does not make sense I really cannot see my phone Great Doctors, Sarah and Brandy the front desk clerks are extremely knowledgeable and helpful, and the nursing staff is always friendly and explained all my questions.
- Dec. 22, 2023
They have the best staff and care ever! I really like Brandi!!! She has taken care of our family for... the past several years and is very patient and has done an excellent job with my children! I appreciate the staff and doctors! The care is amazing! I recommend this practice!
- Dec. 13, 2023
Every time my kids and I go here the staff is super friendly and helpful! My kids had an appointment... last week and Reagan and Dr Bankey were wonderful with them! I had a appointment this week and Chelsea took very good care of me. As always, Dr Schoenherr was kind, thorough, and extremely helpful! Thanks
- Dec. 12, 2023
Love the friendly staff and they always keep me well Informed of what they are doing during each vis... it
- Nov. 30, 2023
Wonderful experience. Chelsea was great at explaining everything from each exam an test I took..my ... eye doctor was terrific as always with my eyes an all my questions...been coming here a few years now an will always come back...great people great experience # fishbaugh eye care
- Nov. 29, 2023
I would like to say that my experience with this office was amazing. I would like to say the tech Ch... elsea was very very polite and respectful. I enjoyed working with her and will definitely recommend this office to anyone in the near future.
- Nov. 28, 2023
Friendly staff, helpful, good energy. Got an appointment relatively quickly and a text as soon as my... glasses were in,
- Nov. 16, 2023
Dr. Fishbaugh gives you a compete exam. His staff is always nice. Chelsea did an awesome job. Whe... n I went back to pick up my new glasses, they made sure they fit properly before I left. I look forward to my next appointment.
- Nov. 07, 2023
Awesome experience! My daughter is 5 years old and this appointment was a piece of cake. The staff w... as super friendly, helpful and knew how to interact with a child her age. Special shout out to Dr Ashley and Bethany. Highly recommend!
- Nov. 02, 2023
I really enjoy coming to my appointments and the staff is always so friendly. Regan was really nice ... and allowed the testing to not be boring she was very interactive with me.

View All 131 Reviews

Your Keratoconus Treatment Specialist in Lima

Our optometry practice in Lima

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Clear Vision, Bright Future

Navigating Keratoconus Together

(419) 227-2020