Vision Therapy in Fredericksburg

Keratoconus and Contact Lenses: Finding the Perfect Fit

(540) 373-3021

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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955 Reviews
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- Dec. 08, 2025
Dr. Tsai has been our family Optometrist for many years. Sorry to see she is retiring. Always grea... t service and selection of quality eyewear.
- Dec. 05, 2025
Easy, great visit for my Exam
- Nov. 24, 2025
Very good customer service and knowledge of what to do for dire eyes .
- Nov. 21, 2025
Highly recommend this place! They have always been caring and knowledgeable. I tore my cornea, 3 tim... es, and each time the took excellent care of me and even helped me to prevent any future tears. At my annual exam they were very thorough and adjusted my prescription, when I didn’t even know I needed to. My vision has never been better!
- Nov. 17, 2025
Definitely highly recommended!
- Nov. 08, 2025
Premier Eyecare runs like a well-oiled machine. My experience was with Dr. Lambertson. She was con... genial & professional. She provided thorough explanations of our interactions. There was no pressure to purchase eyewear. I appreciated that. I will probably schedule with Premier a year from now for my annual eye check.
- Nov. 08, 2025
The staff was very friendly always. i love the good service i get her!
- Oct. 31, 2025
Big shout out to Justin and the other employee who got him for me. I had to get the kids and rush ov... er to get my glasses after crushing mine on accident. I showed up few minutes after close and they were locking up. They opened the doors and got my glasses for me. Thank you so much! Always great service and doctors. Thank you!!!
- Oct. 30, 2025
Great experience and friendly staff. I have been going there since retiring from the military and ha... ve had no issues!
- Oct. 22, 2025
Super team at the Fredericksburg, Carl D Silver pkwy location
- Oct. 08, 2025
I've been to Dr Church and Dr Lambertson, and I recommend Premier Eyecare to others.
- Sep. 17, 2025
Great Staff and very helpful. Will keep coming back for my annual checkups, frames and lense purchas... es.
- Aug. 29, 2025
We are new to Virginia and we're fortunate to have neighbors recommend Premier Eye Care. We were ver... y pleased with the doctors, staff and facilities. Highly recommend Premier Eye Care, Feedericksburg,VA
- Aug. 27, 2025
Dr. Lambert is an absolute sweetheart! She was kind, respectful and patient with our son who is non ... verbal. Our son wasn’t very cooperative but she was able to get his eye exam done. We will be back.
- Aug. 15, 2025
I highly recommend Dr. Lambertson!
- Aug. 14, 2025
10 out of 10. Very knowledgeable and friendly staff. Stephanie is always a pleasure too! Love my Guc... ci frames.
- Jul. 30, 2025
Dr Lambertson was super nice and clearly very good at her job. Would highly recommend!
- Jul. 29, 2025
Dr Church is excellent. The whole experience was excellent.
- Jul. 26, 2025
Very thorough and professional. Attention to detail and all questions.
- Jul. 23, 2025
I liked being able to make my appointment online.

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Scleral Lenses in Fredericksburg

Our optometry practice in Fredericksburg

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Experience Clarity with Scleral Lenses from Premier Eyecare, Angela Tsai, O.D. and Associates

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 Premier Eyecare, Angela Tsai, O.D. and Associates today. Your journey to clear vision begins here.[b]

(540) 373-3021