Standing to my left is Kevin, a keratoconus patient who recently visited us from Puerto Rico. Standing on the right is Kevin’s mother, Lili. When Kevin first visited us, his vision was extremely poor. Doctors back home were unable to provide Kevin with functional vision with either contact lenses or eyeglasses. Last week we fit Kevin with scleral lenses which we designed with the aid of computers using proprietary software. With his new scleral lenses Kevin has clear (20/20) comfortable vision with all day lens wear. The smile on Kevin’s face tells the whole story. Our mission is to help patients who have lost quality vision due to corneal disease, ocular trauma, refractive eye surgeries and dry eyes see clearly and comfortably again. Looking forward to seeing Kevin and his mother again next year.
To diagnose keratoconus and properly seek Keratoconus Treatment, your eye doctor (ophthalmologist or optometrist) will review your medical and family history and conduct an eye exam. He or she may conduct other tests to determine more details regarding the shape of your cornea. Tests to diagnose and start keratoconus treatment include:
Your keratoconus treatment depends on the severity of your condition and how quickly the condition is progressing.
There is keratoconus treatment from mild to moderate that can be treated with eyeglasses or contact lenses. For many people, the cornea will become stable after a few years. If you have this type, you likely won’t experience severe vision problems or require further treatment.
In some people with keratoconus, the cornea becomes scarred or wearing contact lenses becomes difficult. In these cases, surgery might be necessary.
If you’re using rigid or scleral contact lenses, make sure to have them fitted by an eye doctor with experience in keratoconus treatment. You’ll also need to have regular checkups to determine whether the fitting remains satisfactory. An ill-fitting lens can damage your cornea.
You may need surgery as keratoconus treatment if you have corneal scarring, extreme thinning of your cornea, poor vision with the strongest prescription lenses or an inability to wear any type of contact lenses. Several surgeries are available, depending on the location of the bulging cone and the severity of your condition.
Surgical options include:
If you have corneal scarring or extreme thinning, you’ll likely need a cornea transplant (keratoplasty).
Penetrating keratoplasty is a full-cornea transplant. In this procedure, doctors remove a full-thickness portion of your central cornea and replace it with donor tissue.
A deep anterior lamellar keratoplasty (DALK) preserves the inside lining of the cornea (endothelium). It helps avoid the rejection of this critical inside lining that can occur with a full-thickness transplant.
Cornea transplant for keratoconus generally is very successful, but possible complications include graft rejection, poor vision, astigmatism, inability to wear contact lenses and infection.
Dr. Edward Boshnick maintains a cutting edge practice devoted to the restoration of vision and comfort lost as a result of refractive eye surgery (including LASIK and Radial Keratotomy), keratoconus, corneal transplant surgery, pellucid marginal degeneration, extreme dry eye, corneal dystrophies, corneal trauma, lasik damage and Stevens-Johnson Syndrome.
A few words about Dr. Edward Boshnick and his eye care practice:
Dr. Edward Boshnick maintains a cutting edge optometric practice covering all types of vision care including non-surgical vision improvement, contact and scleral lens care, children’s vision and vision rehabilitation for the partially sighted. Dr. Boshnick received his B.A. degree from the University of Miami and his Doctorate degree was awarded in Optometry from Southern College of Optometry.