Vision Therapy in Bethany

Keratoconus and Contact Lenses: Finding the Perfect Fit

(402) 466-6070

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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76 Reviews
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- Jul. 23, 2024
Bethany Vision Clinic has changed our lives...Dr. Engel made such a huge improvement for our son and... he will be our forever EYE guy!! His staff is simply amazing and always willing to help!!
- Jul. 16, 2024
Personal service and a real attempt to do what they can to solve or at least improve your issues and... to fit you in in an emergency
- Jun. 26, 2024
My experience with Bethany Vision Clinic the past several years has been excellent. In my opinion, t... he best eyecare facility in Lincoln. Dr. Engel's and staff are top notch!
- May. 22, 2024
Dr. Engel and Staff are always kind, efficient and swift!!!!
- Oct. 28, 2023
Personalized care and attention to details.
- Aug. 15, 2023
Recently moved to town, so needed to find a new eye doctor! I was very impressed and pleased by my v... isit with the entire staff! From the moment I walked into the door, the staff was very welcoming! The doctor was excellent! Picking new frames was easy! I am very pleased and would highly recommend Bethany Vision Clinic!
- Jun. 29, 2023
Bethany Vision Clinic is wonderful! They are friendly, patient, hassle free & great communicators. A... small hometown feel in the city.
- Dec. 29, 2022
Great people very professional
- Feb. 24, 2022
Dr. Engle listens!
- Feb. 17, 2022
I've been going here for over 15 years. After they changed owners a few years ago, I love it even mo... re. Staff is very friendly and treats you like a friend or acquaintance rather than a customer. The Dr. takes his time to explain things so you understand them and makes time to get you in very quickly if an urgent eye issue happens.
- Dec. 20, 2021
Very friendly, helpful staff. We really like the doctor and all the opticians
- Nov. 11, 2021
Dr. Engel was efficient and thorough and answered all of my questions. I love the contact lens polic... y to send home for ten days and then follow up to make sure they are working for you!
- Nov. 06, 2021
Always great, friendly service and a thorough exam. Highly recommend Dr Engel and his staff!!
- Oct. 12, 2021
Bethany Vision has the most terrific, friendly staff! Scheduling an appt has always been easy, and a... ppointments always quick. The waiting area looks cozy with a fridge, TV, magazines, and more, though I've never been able to enjoy it because I never have a wait! Dr. Engel has always provided tremendous care, taking the time to educate me on the overall health of my eyes and how to ensure healthy vision for years to come. He has helped to correct so many vision issues, and I cannot thank him enough. Love, love, love Bethany Vision Clinic!
- Oct. 01, 2021
Dr. Engel is the best!
- Aug. 11, 2021
This vision clinic did not disappoint me. It was recommended to me from my vision doctor in NC. I wa... s well cared for by Megan who also helped me pick out my frames. The doctor was excellent and showed a sincere touch. Don’t think about going anywhere else.
- Jul. 30, 2021
I’ve been seeing Dr. Engel for 20 years and now all my children see him. He’s the only one I’l... l trust to see them. He’s very kind and great with kids too. The staff is very helpful and kind. I have very sensitive eyes, especially to prescription adjustments, and they have been so helpful and accommodating.
- Jul. 22, 2021
Dr. Engel & his staff are very friendly & professional. These people know what they are doing. Highl... y recommend this place for any of your vision needs.
- Jul. 08, 2021
I appreciate being able to schedule an appointment during their extended hours. That is very nice of... them. Very pleasant and professional atmosphere.
- Jun. 03, 2021
Dr. Engle and his team are incredibly focused on delivering a high quality, top notch, and personal ... experience. They all really care! I would highly recommend!

View All 76 Reviews

Scleral Lenses in Bethany

Our optometry practice in Bethany

Photograph of Josh  Engel
Hours
  • Monday 9:00 am - 5:00 pm
  • Tuesday 9:00 am - 5:00 pm
  • Wednesday 11:00 am - 7:00 pm
  • Thursday 9:00 am - 5:00 pm
  • Friday 9:00 am - 5:00 pm
  • Saturday Closed
  • Sunday Closed
Insurance Plans
  • VSP
  • EyeMed
  • Davis Vision
  • Spectera
  • Avesis
  • Medicare Part B

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Experience Clarity with Scleral Lenses from Bethany Vision Clinic

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 Bethany Vision Clinic today. Your journey to clear vision begins here.[b]

(402) 466-6070