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

Scleral Lenses in Fredericksburg

Our optometry practice in Fredericksburg

Photograph of Angela  Tsai
Hours
  • Monday 7:45 am - 6:00 pm
  • Tuesday 7:45 am - 6:00 pm
  • Wednesday 7:45 am - 6:00 pm
  • Thursday 7:45 am - 6:00 pm
  • Friday 7:45 am - 6:00 pm
  • Saturday Closed
  • Sunday Closed
Insurance Plans
  • Blue Cross Blue Shield
  • Cigna
  • Humana
  • Medicare
  • VSP

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.

Patient Reviews
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736 Reviews
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- Apr. 19, 2024
Great service. Took me in shortly after I arrived and reported in.. Everyone was kind and profession... al. Would recommend them to my family and friends.
- Apr. 18, 2024
I was a new and unannounced patient. My contact had split and part of it was stuck in my eye. They l... et me right in and took care of everything. Very professional and very skilled both by all the staff and the provider.
- Apr. 17, 2024
My child needed an emergency appointment for something on her eye. The staff were compassionate and ... went out of the way to help us. She received the best care! Dr treated her quickly and kindly; explained everything and we both left feeling relieved (and better). Absolutely wonderful experience.
- Apr. 16, 2024
Dr. Church is a great Dr. very thorough and easy to talk to. Explains everything.
- Apr. 16, 2024
Dr. Church is a great doctor and highly recommended to anyone!
- Apr. 12, 2024
A great experience as always. Receptionist was great, Dr Church was very professional and figured ou... t my problem. Check out was very helpful. Definitely recommend!
- Apr. 12, 2024
Premier Eyecare is top notch all the way!! professional and curtious service from staff and doctors... alike.
- Apr. 09, 2024
Dr. Tsai is always so thorough. She is caring and always taken care of my families vision needs. I w... on't go anywhere else! We think she is amazing!
- Apr. 09, 2024
Dr. Church is the best! He is always very friendly, attentive to my needs and thorough with his exa... m. The office staff is very friendly, and the office is always clean and looks nice.
- Apr. 08, 2024
Always a great visit with Dr. Tsai and her optical group
- Apr. 03, 2024
I love this office! My kids and I have been going to Premier Eyecare for several years and Dr. Chur... ch is the best! A couple of years ago we moved over an hour away and still come back for our exams and eye care. It’s always a positive experience, staff are amazing, and everyone works well with my kids including my daughter who has special needs.
- Mar. 29, 2024
Great experience!
- Mar. 27, 2024
Thorough, knowledgeable, and polite. Competent! The state of the art equipment. Book your appointmen... ts early in the day; most folks seem to come late morning
- Mar. 25, 2024
Great service Dr. Lambertson is truly great in what see does.
- Mar. 20, 2024
Everyone today at Premier eyecare from the receptionist that checked me in, to the technician that ... took me back to the office, and to Dr. Church were extremely positive, pleasant, and helpful. Dr. Church was very helpful and invested in researching the answers to the questions that I had. This is a very good office
- Mar. 15, 2024
Dr. Church and his staff are the best! I felt heard, seen and valued as a 1st time customer!
- Mar. 13, 2024
Everybody here is very professional as well as personable. I enjoy coming here and the glasses they ... made for me have dealt with my double vision issues much better than those I had gotten somewhere else.
- Mar. 12, 2024
Dr Tsai and Taylor always give the best care to our family and always listen to our concerns/needs. ... Rhonda , I believe that was our technician’s name in the ocular department, did a great job helping me narrow down the right pair of glasses out of the tons I picked. She didn’t make me feel rushed and helped answer all my insurance coverage questions.
- Mar. 08, 2024
very friendly staff and thorough exam.
- Mar. 06, 2024
I love Dr. Church. I feel he listens to me, answers my questions and has my eyesight as his top prio... rity.

View All 736 Reviews


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.


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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