Vision Therapy in Lincoln

Keratoconus and Contact Lenses: Finding the Perfect Fit

(402) 420-2020

Understanding Keratoconus: A Vision Disorder

Your cornea, the clear, round, front surface of your eye, is the first ocular tissue that light passes through on its way to the retina. Keratoconus causes the cornea to thin, steepen, and form an irregular cone-shape. This transformation causes light to focus on the retina incorrectly, which leads to distorted vision.

woman putting in contact


What Are the Symptoms of Keratoconus?

There are two primary ways keratoconus affects your vision, and it shows up as:

  • Irregular Astigmatism: The cornea, which typically has a smooth spherical shape, undergoes a transformation into a cone-like structure. This alteration results in a wavy and uneven corneal surface, known as irregular astigmatism.
  • Nearsightedness: As the front part of your eye expands, your vision becomes increasingly nearsighted. This means that you can only see objects clearly when they are up close (however in keratoconus, even objects at near may still appear distorted). Anything at a distance appears blurry.
  • Variable or quickly changing vision. The inability to achieve clear vision in glasses or soft contacts when it had been possible in the recent past.

Recognizing the signs of keratoconus is essential, as early detection can lead to more effective treatment. Keep an eye out for the following symptoms:

  • Double or triple vision when using just one eye
  • Blurriness of objects both near and far
  • Perception of bright lights with halos around them
  • Presence of light streaks
  • The presence of ghost images
  • Persistent blurry vision that affects your ability to drive safely

adding contact drops

Causes and Risk Factors: Can it Damage Your Vision?

The precise cause of keratoconus remains unknown. Researchers believe that some individuals may have a genetic predisposition to the condition.

However, several factors have been associated with the development of keratoconus:

Family History: If a family member has been diagnosed with keratoconus, there is an increased likelihood of inheriting the condition. If you have keratoconus, it is advisable to have your children's eyes examined for early signs, by the age of 10 at the latest. Early detection of keratoconus is crucial for successful management and prevention of severe disease.

Certain Medical Conditions: Research has indicated a correlation between keratoconus and systemic conditions such as Down syndrome, Ehlers-Danlos syndrome, osteogenesis imperfecta, retinitis pigmentosa, sleep apnea, Lebers congenital amaurosis, Marfan’s, and other connective tissue disorders.Inflammation: Inflammatory conditions like allergies, asthma, or atopic eye disease have the potential to weaken the corneal tissue over time.

Eye Rubbing: Vigorous and persistent eye rubbing can lead to corneal damage. Excessive eye rubbing can accelerate its progression for individuals already diagnosed with keratoconus.


Scleral Lenses for Keratoconus: The Game-Changer

Keratoconus presents a unique challenge when it comes to vision correction. Traditional gas permeable? contact lenses often prove ineffective as they cannot conform to the irregular corneal shape. This is where scleral lenses step in as an innovative solution.

Here are four compelling reasons to consider scleral lenses for keratoconus:

  • Enhanced Comfort

    Scleral lenses are larger in diameter compared to traditional rigid gas permeable contact lenses, spreading their weight across a broader, less sensitive area, ensuring comfort during extended wear.

  • Improved Vision

    Unlike glasses, which often offer limited visual improvement for keratoconus patients, scleral lenses can significantly enhance vision clarity and stability.

  • Constant Moisture

    Scleral lenses provide a continuous reservoir of moisture between the lens and the eye's surface, ensuring a soothing and moisture-rich environment for the eyes.

  • No More Eye Rubbing

    The design of scleral lenses minimizes the need for eye rubbing by reducing inciting factors of ocular surface and lid inflammation due to allergy response, reducing the risk of further corneal damage and discomfort.

Patient Reviews
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695 Reviews
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- Nov. 20, 2024
I have seen Dr. Brian Brightman for years and he helped me tremendously with my dry eye issue. He al... ways had the best advice for a variety of things as my vision has changed over the years. He truly listens and cares-I know I can always trust his advice.
- Nov. 04, 2024
Very professional and very friendly! Great care and service!
- Oct. 30, 2024
Very professional and courteous staff from check in to check out. Dr. Brightman is excellent. He is ... very thorough and addresses all of my questions and concerns.
- Oct. 15, 2024
Great customer service, always able to find a solution. Would recommend to anyone, we have 2 kids w... ith glasses and they always take very good care of them.
- Oct. 04, 2024
Needed new prescription and something removed from my eye. Was painless and my eyes are good to go!
- Oct. 03, 2024
Staff was great, everything was fast and friendly.
- Sep. 12, 2024
From the very first moment I walked in I was greeted warmly, asked if I had an appt, and taken care ... of by the whole team of professionals! I met Dr. Brightman, who is caring and professional. I walked out with a repaired pair of glasses, ordered new ones from Brad, and had more knowledge about my eye vision! Great job everyone. 👍🏼
- Jul. 13, 2024
Would recommend
- Jul. 03, 2024
We love the team at Eyecare Specialities! Especially Dr. Brian Brightman! He’s so great with our e... ntire family!
- Jun. 25, 2024
The staff and Dr. Steger were very informative of the steps, and explained thoroughly the changes to... my eyes. I didn't feel rushed, and was allowed to ask follow-up questions at length.
- Jun. 25, 2024
Amazing staff! Very friendly and professional! Highly recommend!!!
- Jun. 19, 2024
Everyone is always kind, helpful and informative. They are all very good with my kids, 2 of whom are... on the spectrum.
- May. 28, 2024
Dr. Brian Brightman is amazing!!! The reception staff needs more training; especially, with release ... forms & patient history…..(established patient or new) You have to be your own ADVOCATE!!!
- May. 17, 2024
Have blurred vision and problems reading Found out I have cataracts. Dr Doug Harshman was very frien... dly and explained everything to me Would go back to him in a heart beat. Thank you Doug and staff.
- Apr. 19, 2024
Awesome place with awesome staff!
- Apr. 06, 2024
Dr. Taylor Steger was phenomenal! Hands down, the most thorough eye exam I have ever had. He was ext... remely patient with me as I asked several questions, provided me with lots of information, and had excellent bedside manner. Further, Dr. Steger’s team took great care of me and even went out of their way to make my appointment with a specialist for LASIK. HIGHLY RECOMMEND!!!
- Apr. 02, 2024
They have been taking care of my eye health for over 30 years. Thank you!
- Mar. 15, 2024
My brother Scott recommended Dr. Brightman. I’m so glad he did. Fantastic experience. My appointme... nt ran on time and the staff was kind and gracious. I highly recommend Dr. Brightman and his staff.
- Mar. 08, 2024
Dr. Taylor Steger and the whole staff, from beginning to end, provided highly professional skilled s... ervices. I was very impressed not only by them, but the whole facility.
- Feb. 16, 2024
Wonderful and kind staff. Answered all questions and always helpful.

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Scleral Lenses in Lincoln

Our optometry practice in Lincoln

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  • Monday 8:00 am - 5:00 pm
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Experience Clarity with Scleral Lenses from EyeCare Specialties - Pine Lake

Scleral lenses have the potential to provide life-changing improvement in vision clarity and comfort for those battling keratoconus.If you or a loved one has keratoconus and would like to explore the benefits of scleral lenses, schedule a consultation with EyeCare Specialties - Pine Lake today. Your journey to clear vision begins here.[b]

(402) 420-2020