Vision Therapy in Gaithersburg

Keratoconus and Contact Lenses: Finding the Perfect Fit

(301) 869-4070

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
- Oct. 24, 2025
My family and I have been going to the Eye Center for years. I have been a patient of Dr Miller and... Dr Khan, they are great! The staff is very nice and professional. I appreciate the time and care the Eye Care Specialties Team give us, when selecting our eye ware. Lyons Family
- Aug. 12, 2025
Always a great experience. Dr. Gabriela and her team are great.
- Jun. 03, 2025
Great people! So helpful
- Nov. 25, 2024
My mother’s lens became loose and needed a quick repair. She is old and needed the help ASAP. Jami... e was super helpful and got it done in less than 5 minutes!
- Oct. 31, 2024
I started going here about 2 weeks ago and I've had a very good experience. It is very convenient fo... r me and everybody's been so nice. I got new glasses and we're figuring out which contact lenses are right for me now with trials as my eyes have gotten dry and I think we finally figured it out. Everyone has been professional and it's clean, nice, and it's been accommodating. Dr Samala Khan is very nice and patient. I recommend this place.
- Oct. 11, 2023
I am writing this too praise the care, kindness and professionalism I received today from Samala Kha... n, Stephanie, Izzy and Augusto! Absolutely the best experience ever at any medical appointment! I was so comfortable and relieved after having neglected my eyes for over eleven years! No need for that, just make an appointment and for sure you will be one hundred percent satisfied!
- Jun. 02, 2023
Staff was all very friendly and my appointment was quick. And a huge shout-out to STEPHANIE FIGUEROA... ! She helped me pick out my frames and was nothing short of perfection and professional. I will be HIGHLY recommending her and the rest of the staff!!
- Apr. 28, 2023
Great staff, great doctors! I have been a customer of Montgomery Village eye center for ages and eac... h time I go I leave happy and satisfied with the services my family has received. They feel like old friends and it’s always great to catch up!
- Dec. 12, 2022
First time patient and I had great experience on my visit. Staff was very knowledgeable and explaine... d everything in detail. Visit was for contacts fitting and annual exam.
- Nov. 01, 2022
This was absolutely one of the best eye clinics i've ever been too! I haven't been to an eye doctor ... in some 10 years. Not only did they make me feel welcome but they made me feel like family. From the kind receiptionist (who i didn't get her name sorry!) to the Doctor himself Adam Rubin and then my optician Jamie! Man oh man everyone was on their A GAME. Thanks so much for your help and kindness! Some goofy photos for your enjoyment!
- Oct. 23, 2022
I have seen many eye doctors in my life and never had the right prescriptions for my glasses. My rig... ht eye has different sight than my left. Dr Miller took her time checked my eyes and for the first time in my life I can see clearly. I am so glad to found this eye doctor. Last but not least, the workers from the front desk to the techs were very helpful and caring. It was my first time to come to this eye clinic I got lost and was late for my appointment after driving for 40 miles to get to their office. I was worried I will not be seen and will not have my eye exam. I called in a panic to ask them their location not only they guide me to their direction, I was able to see the doctor. As anyone can witness, it is rare to find people who are caring. These group of people are very unique. Thank you for being human.
- Jun. 01, 2022
This place is the best! I used to work right next to them before they changed locations but was neve... r seen as a patient. I got a really bad eye infection and was able to be seen the same day before a holiday weekend! the front office staff is extremely friendly and welcoming as well as Dr. Rubin! the doctor made me feel at ease as I was very frustrated and in pain. Love this office and will be coming back for any of my eye needs! Also looks like they have a great selection of frames here. definitely will be recommending to my family and friends!
- Apr. 29, 2022
Upon retirement my husband and I decided to try a new eye care facility closer to our current locati... on. After trying 3 other doctors, we are driving 2 hours, one way, to be able to get the fantastic service from Dr. Rubin and Dr. Miller. It's more than worth it.
- Feb. 10, 2021
Dr Miller is so wonderful and the staff there are absolute stars. Everyone is professional and super... friendly. I highly recommend.
- Aug. 19, 2020
Visited this eye Doctor for the Second year now, this place is full of profesional people that knows... everything about glasses, my whole family had short vision problems since ever, kids and hubby used regular and contacts lenses for many years, dr. Rubin is so detailed and patience with all of us, so profesional and gentle in the eyes checking process, plus friendly with kids. Mr. Rick is the most great adviser on which glasses are better on price, covered by your insurance, the ones on sale, and the ones that makes you look like a Hollywood Star, takes detailed mesures of your face, the wide the chin the eye distance and make your glasses fit perfect in your face, all my family and some friends I recommended are so happy with this place, also they have the most updated eye glasses collection of your choice, I recommend this eye doctor 100% for you to have the best experience on getting your vision working perfect. SPANISH Visité a este oftalmólogo por segundo año ahora, este lugar está lleno de gente profesional que sabe todo sobre anteojos, toda mi familia ha tenido problemas de visión corta desde siempre, los niños y mi esposo usaron lentes regulares y de contacto durante muchos años, el Dr. Rubin es tan detallista y paciente con todos nosotros, tan profesional y amable en el proceso de verificación de ojos, además de amigable con los niños. El Sr. Rick es el mejor asesor sobre qué anteojos son mejores en precio, cubiertos por su seguro, los que están en oferta y los que lo hacen parecer una estrella de Hollywood, toma medidas detalladas de su rostro, el ancho de la barbilla el distancia de los ojos y haz que tus anteojos se ajusten perfectamente a tu cara, toda mi familia y algunos amigos que recomendé están muy contentos con este lugar, además tienen la colección de anteojos más actualizada de tu elección, recomiendo este oculista 100% tenga la mejor experiencia para lograr que su visión funcione a la perfección.
- Feb. 19, 2020
Been going to Montgomery County Eye Care for a few years and Dr. Rubin & the staff have been great. ... Dr. Rubin listens to your concerns and advises accordingly. Would definitely recommend Montgomery County Eye Care to everyone.
- Jan. 22, 2020
I've been here with my brothers since I was a kid. They moved and I couldnt find them anymore. After... all these years I finally found them! The experience is still great like before (mind you...this is like 11 years later) and the staff are amazing and sweet. Eager to help you with your situation! I love that they give you temporary lenses til your contacts arrive. I love it! Literally the best place ever and worth every penny 👍
- Mar. 13, 2019
Great staff, doctor was very thorough during examination. I will never go anywhere else!
- Nov. 30, 2018
I didnt have an appointment and thought I would stop in to inquire about my warrenty. Nicole helped ... me replace my frame under warrenty in minutes! Nice people and quick service.
- May. 18, 2018
This is one of the best in montgomery village!!very friendly!

View All 65 Reviews

Scleral Lenses in Gaithersburg

Our optometry practice in Gaithersburg

Photograph of Gabriela Miller
Hours
  • Monday 9:00 am - 6:00 pm
  • Tuesday 9:00 am - 6:00 pm
  • Wednesday 9:00 am - 6:00 pm
  • Thursday 9:00 am - 6:00 pm
  • Friday 9:00 am - 6:00 pm
  • Saturday Closed
  • Sunday Closed
Insurance Plans
  • VSP
  • Medicare
  • United Healthcare
  • Aetna
  • Spectera
  • Anthem
  • EyeMed
  • Blue Cross

chart

Experience Clarity with Scleral Lenses from Montgomery Village Eye Center

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 Montgomery Village Eye Center today. Your journey to clear vision begins here.[b]

(301) 869-4070