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Understanding Keratoconus and the Role of Scleral Lenses

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What is Keratoconus?

Kerataconus is a condition that affects the cornea, the clear front part of the eye. Although it might sound intimidating, understanding keratoconus and its available treatments can help you or someone you know find proper treatment and maintain clear vision.

At Carolina Forest Family Eyecare, we help patients with keratoconus achieve clear, comfortable, and healthy vision using scleral contact lenses. Contact us to schedule your appointment if you or someone you love has been diagnosed with a corneal condition.

Keratoconus is an eye condition where the cornea, which is normally round and dome-shaped, becomes thin and develops a cone-like bulge. This irregular shape affects the cornea's ability to properly focus light onto the retina, resulting in blurry and distorted vision.

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Causes of Keratoconus

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While the exact cause of keratoconus is still not fully understood, it is believed to be a combination of genetic and environmental factors. If you have a family history of keratoconus, you may be at a higher risk of developing the condition. Frequent eye rubbing, chronic eye irritation, and certain underlying conditions, such as allergies, can also contribute to its development.


Symptoms of Keratoconus

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Keratoconus typically starts during the teenage years and gradually progresses over time. The following symptoms may indicate the presence of keratoconus:

  • Blurred or distorted vision: Objects may appear distorted, and it can become increasingly difficult to see clearly even with corrective lenses.
  • Increased sensitivity to light: Bright lights may cause discomfort and glare.
  • Halos and ghosting: Seeing halos or ghosting around lights, especially at night.
  • Eye strain and fatigue: Eyes may feel tired or strained, especially after focusing on objects for extended periods.

Treatment Options for Keratoconus

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Several treatment and corrective options are available for keratoconus. The choice of treatment depends on the severity of the condition and the individual's specific needs. The options include:

  • Glasses or contact lenses: In the early stages, regular glasses or soft contact lenses may be sufficient to correct vision. However, as the condition progresses, specialized lenses become necessary.
  • Hybrid lenses: Hybrid lenses combine the features of rigid and soft lenses. They have a rigid center for clear vision and a soft outer ring for increased comfort.
  • Corneal cross-linking (CXL): This treatment aims to strengthen the cornea using a combination of riboflavin eye drops and ultraviolet light. CXL can help slow down the progression of keratoconus.
  • Scleral lenses: Scleral lenses are becoming increasingly popular for managing keratoconus due to their unique design, comfort, and optical clarity.

Scleral Lenses: A Promising Solution at Carolina Forest Family Eyecare

Scleral lenses are large, rigid lenses that vault over the cornea, resting on the sclera (the white part of the eye). Unlike traditional contact lenses, which sit directly on the cornea, scleral lenses create a tear-filled space between the lens and the cornea. This reservoir of fluid acts as a protective barrier, keeping the cornea hydrated and providing a smooth optical surface for improved vision.

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How Do Scleral Lenses Work?

Diagram explaining Keratoconus

Diagram explaining Keratoconus

When a person with keratoconus wears scleral lenses, the lens creates a uniform surface over the irregular cornea. This helps to reduce distortions and provide clearer vision. The liquid reservoir also moisturizes the cornea, reducing dryness and discomfort. In fact, some studies have found that patients with keratoconus who consistently wear scleral lenses have a much lower chance of needing a corneal transplant. This is due largely to the fact that scleral lenses protect the cornea and shield it from irritation due to blinking and other factors.

Scleral lenses are custom-made for each individual's eye shape and condition. They are highly durable and can usually be worn for longer periods without discomfort.

Effective Keratoconus Treatment at Carolina Forest Family Eyecare

Living with keratoconus can be challenging, but with the right understanding and treatment, individuals can achieve improved vision and a better quality of life. While various treatment options exist, scleral lenses have gained recognition for their ability to address the unique needs of those with keratoconus.

If you suspect you may have keratoconus or know someone who does, consult an eye care professional at Carolina Forest Family Eyecare who can guide you through the available treatment options, including the potential benefits of scleral lenses. Remember, early detection and intervention are key to managing this condition effectively.


Keratoconus FAQs

Can keratoconus be prevented?

Currently, there is no known way to prevent keratoconus. However, avoiding excessive eye rubbing and taking steps to maintain good overall eye health may help reduce the risk of progression.

Can scleral lenses be uncomfortable to wear?

While it may take some time to adjust to wearing scleral lenses, they are designed for comfort and improved vision. The liquid reservoir between the lens and the cornea helps keep the eyes hydrated, reducing discomfort often associated with other types of lenses.

Patient Reviews
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383 Reviews
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- Jan. 29, 2026
We have recently moved to the area and hated the fact that we had to start all over again with healt... h care providers. This was an excellent choice.
- Jan. 25, 2026
The staff is great. I would highly recommend this eyecare place.
- Jan. 24, 2026
Their Optician quickly helped me narrow down my selections to choose a pair of glasses that I was ve... ry happy to buy with a lens option that I didn’t know I could get.
- Jan. 24, 2026
Always a great experience.
- Jan. 22, 2026
What a pleasant experience. The staff was so nice and welcoming.
- Jan. 15, 2026
If you want the latest technology to detect ocular disorders, this is the place ! Make an appointmen... t today!
- Jan. 15, 2026
I came to Carolina Forest Family Eyecare after a really negative experience at LensCrafters and hone... stly didn’t have very high expectations—but I was pleasantly surprised from start to finish. The facility itself is beautiful and feels very high-end. The waiting area is comfortable, the bathrooms are accessible, and I didn’t have to wait long at all for my appointment. Every member of the support staff was friendly and welcoming. Dr. Alavi is an absolute hoot—animated, funny, and incredibly knowledgeable. She took the time to answer all of my questions without ever making me feel rushed. She also explained why I had such a difficult time getting contact lenses elsewhere: after having LASIK years ago, I’m not a great candidate for contacts—something no one had ever bothered to clearly communicate to me before. They have a fantastic selection of frames, ranging from under $200 to well over $700 (yes, the Tom Fords were tempting!). Picking up my glasses and getting them fitted was quick and easy. When I realized I still wasn’t reading as well as I should, I went back and they re-measured where the progressives started and ordered new lenses. I was able to keep my glasses while waiting for the new lenses, and they simply popped the replacements in when they arrived. I even asked to keep the original lenses as a backup—and they let me. To top it all off, when I returned to pick up the new lenses during the week of Christmas, Dr. Alavi was there in a full-on elf suit. She is my people. Highly recommend Carolina Forest Family Eyecare—professional, thorough, kind, and genuinely fun to work with.
- Jan. 15, 2026
Good experience.
- Jan. 15, 2026
I have finally found my forever eyecare professionals at this location! This is the third provider I... 've seen since I moved to this area and as someone who has been seeing eye doctors for 69+ years I can say without a doubt that this place is top-notch. The latest equipment for important testing, friendly staff, great atmosphere, good frame selectioon and Dr A is outstanding. She is very thorough and I learned a lot from her.
- Jan. 07, 2026
Friendly, professional and compassionate staff. They can provide easy to understand explanations fo... r subject matter that can be complex at times.
- Dec. 21, 2025
Wonderful office. From the time I walked in to when I left, I felt complete. All the staff was great... . The Dr was wonderful. She explained everything to me about my eyes. I didn't feel rushed. Found my new office.
- Dec. 21, 2025
Exam was thorough. Questions were answered fully. Staff was friendly and on time. No waiting beyond ... appointmenmt time. Would definitely recommend this practice to frinds and relatives.
- Dec. 10, 2025
Dr Weshefsky was excellent, took his time with me explaining the scans, what we were looking at and ... specific treatments. Very thorough!
- Nov. 26, 2025
Excellent service from start to finish
- Nov. 20, 2025
Great, Friendly, Thorough, Knowledgeable,
- Nov. 04, 2025
Office is conveniently located. Staff are friendly and knowledgeable. Wait times are never very long... .
- Nov. 02, 2025
Great atmosphere. Fast friendly service
- Oct. 21, 2025
Professional, friendly staff; great service
- Oct. 09, 2025
Friendly and knowledgeable staff that value your input and time.
- Sep. 18, 2025
Would highly recommend Dr Alavi

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Your Keratoconus Treatment Doctor in Myrtle Beach

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Hours
  • Monday 9:00 am - 6:00 pm
  • Tuesday 11:00 am - 6:00 pm
  • Wednesday 9:00 am - 6:00 pm
  • Thursday 8:00 am - 5:00 pm
  • Friday 9:00 am - 1:00 pm
  • Saturday Closed
  • Sunday Closed
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Clear Vision, Bright Future

Navigating Keratoconus Together

(843) 903-6262