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Understanding Corneal Diseases

The cornea is a critical part of the human eye, serving as its outermost layer. This transparent, dome-shaped surface envelops the eye’s front. Although it appears clear and insubstantial, it is actually composed of a highly organized collection of cells and proteins. Unique among body tissues, the cornea doesn’t rely on blood vessels for nourishment or defense against infection.

Nourishment for the cornea comes from tears and the aqueous humor, which fills the chamber behind the cornea. The cornea’s transparency is essential for correctly refracting light, and even the smallest blood vessels could disrupt this process. All corneal layers must remain free from any opaqueness or cloudy areas to ensure optimal vision.

Around 5 million Americans experience quality vision loss due to ocular trauma and various corneal conditions. Some of these conditions that result in vision loss and discomfort include keratoconus, pellucid marginal degeneration, post-refractive surgeries such as LASIK-induced ectasia, corneal ulcerations, severe dry eye, different corneal dystrophies, Stevens-Johnson Syndrome, shingles, ocular herpes, and corneal transplant surgery.

Many of these conditions cause such severe corneal distortion that neither eyeglasses nor conventional soft or hard contact lenses can restore quality vision and comfort. Moreover, numerous patients have such dry and/or traumatized corneas that exposure to light and other irritants makes it nearly impossible for them to open their eyes.

Fortunately, there is ongoing work in North America, Europe, and Australia by various contact lens manufacturers to develop specialty lenses and materials to address many of the conditions mentioned above. Additionally, stem cell research is being conducted to promote healing and restore healthy ocular tissue.

Our Mission: Non-invasive Vision Restoration

For many years, our office has been devoted to a mission – helping patients with debilitating ocular conditions regain quality vision non-invasively. Our office has grown into the largest scleral lens practice in North America. Scleral lenses are specialty lenses, often therapeutic in nature, that we use to restore health, vision, and comfort to patients suffering from these conditions.

Scleral Lenses: The Therapeutic Choice

Scleral lenses are large gas permeable lenses that vault over the cornea without touching it. They rest on the sclera, which is the white portion of the eye, making them incredibly comfortable for the wearer. A special fluid fills the space between the back portion of the lens and the front of the cornea, creating a liquid environment that promotes corneal healing. As such, scleral lenses are deemed medically necessary for treating the aforementioned conditions.

Regaining Vision with Scleral Lenses

In many cases where severe corneal distortion is present, conventional corrective lenses or eyeglasses may not suffice. Scleral lenses can provide a solution in these instances. Custom-fit for each individual, they offer improved visual acuity, while also addressing any discomfort issues. In cases where the corneas are so dry and/or traumatized that the patient struggles to open their eyes, scleral lenses can provide the necessary relief, facilitating normal eye function.

The Future of Corneal Disease Treatment

We continuously work towards introducing specialty lenses to address the above-mentioned conditions, with several contact lens manufacturers also joining in this crucial mission. Additionally, promising work utilizing stem cells is underway, aiming to promote healing and restore healthy ocular tissue. As a leader in scleral lens practice, we remain dedicated to assisting patients with debilitating ocular conditions to regain quality vision in a non-invasive manner. Our mission is to offer a new lease of life for individuals with corneal diseases, providing hope for improved vision and eye comfort.

Your Vision, Our Priority:
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Frequently Asked Questions

The cornea is the eye’s outermost layer. It’s a clear, dome-shaped surface that covers the front of the eye. The cornea refracts (bends) light and focuses it on the retina, which is essential for vision. It also acts as a protective barrier against dust, germs, and other particles that can harm the eye.
Some of the common corneal diseases include keratoconus, pellucid marginal degeneration, corneal ulcerations, severe dry eye, various corneal dystrophies, and complications arising from LASIK surgery or corneal transplant. Conditions such as Stevens-Johnson Syndrome, shingles, and ocular herpes can also significantly affect the cornea.
Scleral lenses are large gas permeable lenses that are used to restore health, vision, and comfort to patients suffering from various corneal conditions. They vault over the cornea without touching it, instead resting on the white portion of the eye (the sclera). This design creates a liquid environment that promotes corneal healing, making scleral lenses a therapeutic choice for many corneal conditions.
In many cases, severe corneal distortion caused by corneal diseases may make it impossible for eyeglasses or conventional contact lenses to restore quality vision and comfort. In such cases, specially designed scleral lenses are often the better choice.
The cornea receives its nourishment from tears and the aqueous humor (a clear liquid that fills the chamber behind the cornea). It’s designed this way to maintain its transparency, which is crucial for the refraction of light and, therefore, vision.

Yes, corneal diseases can affect one or both eyes. The extent and severity of the disease can vary between eyes, and the impact on vision can also differ.

While many corneal diseases are due to genetic factors or unforeseen complications, some lifestyle changes can help maintain overall eye health. Regular eye check-ups, protecting your eyes from excessive sun exposure, maintaining good hygiene especially when handling contact lenses, and a healthy diet can support eye health. However, these measures do not guarantee prevention of corneal diseases and it is crucial to consult with an eye care professional for personalized advice.

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Dr. Boshnick

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