Keratoconus Treatment in
Las Vegas, NV
Keratoconus is a progressive eye condition that affects the cornea, the clear front surface of the eye. As the cornea thins and bulges outward into a cone-like shape, it can cause blurry or distorted vision, light sensitivity, difficulty driving at night, and frequent prescription changes.
Dr. Vivienne Velasco has a special interest in helping patients with keratoconus and other corneal conditions find clearer, more comfortable vision through customized contact lens care. She fits specialty lenses for patients with keratoconus, post-LASIK or post-RK corneal changes, corneal transplants, and eye trauma, and she coordinates care with corneal specialists when patients need additional treatment, such as corneal cross-linking. Early and later weekday appointment times are available to make ongoing monitoring and specialty lens follow-up easier to schedule.
Treatment options for keratoconus
Treatment options for keratoconus vary depending on the severity of the condition. In mild to moderate cases, glasses or standard contact lenses may suffice. However, as the condition advances, correcting vision with regular glasses or soft contacts becomes increasingly difficult. Scleral lenses offer an excellent solution, especially for those with advanced keratoconus or other corneal irregularities. Unlike traditional lenses, scleral lenses are larger and cover the entire cornea, resting comfortably on the sclera (the white part of the eye). Rigid gas permeable contact lenses are another effective option as they are better at retaining their shape and staying in place than soft contact lenses.
Hybrid lenses, such as SynergEyes® KC, combine the best features of both soft and rigid lenses. They have a rigid center to provide clear vision and a soft skirt to enhance comfort, making them an excellent choice for keratoconus patients who need a more stable and comfortable lens option.
Additionally, Dr. Velasco may recommend corneal cross-linking (CXL) as a treatment option when keratoconus is progressing. This procedure strengthens the corneal tissue to help slow further changes in the cornea. In a randomized clinical trial, keratoconus progression occurred in 7% of eyes treated with cross-linking, compared with 43% of eyes that received standard care over the study period.1 If necessary, Dr. Velasco will refer you to an ophthalmologist and co-manage the procedure to ensure you receive comprehensive care.
Keratoconus needs expert care from an eye doctor who knows how to treat it. Finding and treating keratoconus early can help you keep your eyes healthy and your vision clear for years to come. Contact us today to schedule an appointment if you’re worried about keratoconus or if you have any questions about your eye health.
FAQs about keratoconus treatment
Can keratoconus get worse over time?
Yes. Keratoconus can progress, particularly during the teen years and early adulthood, causing the cornea to become thinner and more irregular. Regular eye exams and corneal measurements help Dr. Velasco monitor changes in your vision and determine when treatment or specialty contact lenses may be needed.
Does keratoconus always require corneal cross-linking?
No. Corneal cross-linking is generally considered when keratoconus is progressing and the goal is to strengthen the cornea and slow further changes. Dr. Velasco will monitor your corneal health and vision, then refer you to an ophthalmologist and co-manage your care if cross-linking becomes appropriate.
Can eye rubbing make keratoconus worse?
Frequent or forceful eye rubbing may contribute to keratoconus progression, especially for people who are prone to the condition. If allergies or eye irritation make you want to rub your eyes, let Dr. Velasco know so she can help identify the cause and recommend ways to keep your eyes more comfortable.