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Keratoconus is a degenerative disease in which the cornea becomes cone-shaped. When the eye changes shape, it is more difficult for tears to spread over the entire eye, causing dry eyes.

About 80% of patients with keratoconus suffer from dry eyes. Many people who have keratoconus and wear contact lenses will often complain about a cloudy film that builds up over the contact lenses which causes fluctuation of vision. This oily deposit reduces the optical quality of vision and limits how long they can wear the lenses before taking them off to clean them every few hours. They may also experience itchiness and reduced comfort when wearing contacts. Relief can come from both adjustments of the contact lens fit and treatment for dry eyes. Oftentimes, our patients are pleasantly surprised to receive 2 to 3 lines of noticeable visual acuity improvement after treatment.

If you suffer from keratoconus, visit 20/20 Dry Eye Spa for an evaluation.

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SUCCESS STORIES

PROBLEM: Chris P. has been wearing scleral contacts for treatment of keratoconus since 2012. In 2018, his vision was decreasing, and he was having problems with an oily film developing on his lenses which required him to remove the lenses 3-4x/ day to clean off this film; this is a huge inconvenience as these lenses require more care than soft contact lenses. Chris sees single vision with scleral lenses on. When he wears glasses, he sees multiple images that are distorted because of the corneal disease, keratoconus. He cannot function well as his vision is at the level of legal blindness. These specialty lenses have been vital to Chris’ quality of life.

RESULTS: Chris was treated with Miboflo, and after each treatment he completed, the film began to disappear, and he was able to function again. Maintenance is necessary to prevent the dry eyes from worsening. Unfortunately, he did not keep up with the daily maintenance, so his symptoms came back again a year and a half later. Following his repeated treatment, Chris has responded well and is happily enjoying good vision once again.

 

PROBLEM: Rafael O. had such chronically red eyes that people often thought he was drunk or high. He was wearing hard lenses or RGP to see and complained about dry eyes. Rafael is a carpenter who does construction, so he is constantly around dust and debris which further irritate his eyes. Rafael was diagnosed with keratoconus in 2018, and he had his eyes examined to see if there were other options to improve his vision and dryness. We fitted him with scleral contact lenses, and he was diagnosed with severe dry eyes. We used scleral lenses to treat his dry eyes.

RESULTS: Rafael’s vision improved with the sclera contact lens fitting and so did the redness of his eyes; however, Rafael had discomfort when he was wearing the lenses and had difficulty wearing them all day. Rafael still had MGD. Once he decided to receive the Miboflo treatment, his redness and the ability to wear lenses both improved. He is now able to wear contacts all day. This has allowed him to work with minimal irritation, and he now has little to no redness in his eyes.

Right Treatment = Better Vision