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
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32 Reviews
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- Dec. 18, 2023
Carlos is a fantastic employee who is very efficient at his job. He is flexible and accommodating of... all ones needs as well as being kind, welcoming, and courteous.
- 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.
- 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.
- 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.
- 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!
- Oct. 17, 2016
Great doctor with a great office!
- Aug. 18, 2016
Very knowledgeable and helpful staff. I broke my glasses before a vacation and Susan went out of the... way to get me a new pair in record time. Very impressed. Dr. Miller is very professional and is very thorough with the eye exams.
- Jul. 29, 2016
Great service, clean attractive office and knowledgeable and pleasant staff. Always a good experien... ce!
- Jul. 26, 2016
I was a patient of Dr. Miller when I lived in Gaithersburg, MD a long time ago. However, I moved to ... PG County and have seen 3 different eye clinics but none of them have been able to match up to the level of service or care that Dr. Miller and her staff provide. Which is why after 5 years, I have returned to her office. I'm living in Upper Marlboro MD but Dr. Miller is worth the drive. Plus, she has state-of-the-art equipment!!!
- Feb. 25, 2016
My experience with the Montgomery Village Eye Center was nothing but a great one. All the associates... were very welcoming with broad smiles on their faces. The office spaces were nice and clean and my exam was done in a timely manner. This is a must visit Eye Center for anybody with Optometry needs.
- Dec. 28, 2015
great doctor. Did a very thorough check of my eyes. She does charity work in developing countries a... s well.
- Sep. 01, 2015
I've never been to an eye doctor who could explain, in a succinct understandable manner, more about... how my eyes are behaving than Dr. Gabriella Miller. Other eye doctors had been reluctant to switch me to soft lenses but she was able to put me into lenses that helped my vision immediately and also were more comfortable. Her staff also helped me with glasses that were affordable and attractive. I highly recommend Dr. Miller.

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Scleral Lenses in Gaithersburg

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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