What Is Keratoconus?
Keratoconus is a degenerative non-inflammatory disorder of the eye in which structural changes within the cornea cause it to thin and change to a more conical shape than its normal even curve. Keratoconus can cause substantial distortion of the vision, with multiple images, streaking and sensitivity to light all often reported by the patient. Though frequently thought of as a rare condition, keratoconus is the most common dystrophy of the cornea, affecting around one person in a thousand, and seems to occur equally in all ethnic groups worldwide. It is typically diagnosed in the patient’s adolescent years and attains its most severe state in the twenties and thirties.
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My experience was great. Everyone was pleasant and careing. I was made to feel comfortable, at ease and cared about.
Great service and staff
My wait time was short. I arrived earlier than my designated time. I was taken to the exam room prior to my scheduled appointment time. My exam and seeing Dr Kubic was done in a timely manner. Dr Kubic answered all my questions and offered suggestions. His assistant wrote some information on products suggested for me. The staff is always pleasant and helpful.
1st visit, everyone there was wonderful
I have been a patient there for 25 years. Everyone has always been kind to me there. They are professional and I rarely wait long for appointments.
The staff was very nice and professional. The doctor was helpful and knowledgeable.
Very pleasant and satisfactory experience.
Lovely staff, Dr Wuhl is superb!
Efficient and detailed care plan and service given
Friendly staff, modern equipment and beautiful office and rooms. It took less time than expected.
Dr. Roholt and his staff always provide top-notch care.
It was just overall a great experience.
In and out. Staff and Dr. Mathie were great. See you in 2 years.
Thoroughly professional
Always helpful and informative.
Arrived early … was taken back early … Dr. Roholt was very personable and professional.
I am a new patient and was greeted by a happy person. The whole staff was wonderfull and treated me respectively. I would recommend them for complete eye care.
Very well organized and no long wait. This was my first official visit. They did all necessary tests and explained results and answered all questions. I would definitely recommend this vision center.
I had some scar tissue removed from when I had cataract surgery. It was painless. I had a little discomfort afterwards but nothing unmanageable. I definitely can see better after the laser treatment
My husband is pleased with his appointment and the professionalism of the staff!
From the receptionist all the way through the exam and consultation to the check out, my visit was A+ The staff is friendly and accommodating. The doctors are knowledgeable, thorough, patient, and friendly. The opthamolgist-in-training was exceptional. I can’t say enough good things about this practice.
Everything excellent
Very positive all around, questions and answers all right on target. Been so for all the years from day one.
Everyone was so pleasant, efficient, and caring. I was a new patient and was seen the very next day! I would recommend them!
The staff was wonderful. This was the first time in many eye appointments (in the last few years) that my 93 year old mother with cognitive impairment had a successful physical eye exam. The doctor and student doctor won her trust and were superb in relating to her in a way she could somewhat understand. I was happy to see her smiling. This was the first time we came to this office in Alliance. We will definitely come back, LORD willing.
Very professional and took time to explain everything in detail
Explaining everything that they did and results right away in clear terms.
Your student doctor was awesome. Really enjoyed it. The people at the front were amazing. Just amazing people all around.
Staff was very friendly. Ave was wonderful and explained everything! Dr. Mathie was down to earth and answered all my questions. First impression A+.
Everyone was friendly & clear about all info.
Doctor takes his time and answers all my questions. My husband is now a patient also. We’ll never go back to Eye Care Associates.
Great staff, especially the Doctor who was knowledgeable, friendly, and helpful.
Outstanding staff Dr thorough and took his time to explain friendly place to go
Very friendly and explained things well
Friendly, helpful informative
First visit and was very impressed with the Professionalism of the staff. The doctor was very thorough and kind. I was seen in a timely manner
I always have a great experience at Dr. Roholt’s. The staff is helpful and friendly and Dr. Kubis is great!! Very knowledgeable and he explains everything down to the last detail. I get the best exam!!
Highly recommend if you’re thinking about lasik eye surgery! Very friendly atmosphere, all of the doctors are great!
Everyone was very friendly n upbeat dr was great.
very professional and a science treated as an art! I like the atmosphere if the office and respect given to the patient
Great experience informative
Everyone is so very polite and cares about what you’re experiencing, very thorough, very very nice!!!
Very professional! Monica was amazing and efficient with all the testing. Dr Celmer was very good at explaining the upcoming procedure. Kansas was very good at explaining the billing procedure and scheduling. Overall I have been very impressed with my first visit. I feel confident with the upcoming procedures.
I’ve always had such good care at this place. The staff is amazing & explain the issues with my eyes so that I can understand them. I’d recommend roholt vision to anyone. My dr has always been very kind. They’re the best!
Busy office but I was on time with each exams. Very courteous, kind and professional. Where are the employees and Dr Roholt extremely professional and friendly.
Consultation for cataracts was very smooth. Staff and Doctor were very friendly and efficient.
Love Doctor Mathie but if I'm being honest, office staff needs to be a little more professional. As a patient I, shouldn't be able to hear personal conversations, singing out loud or cackling of front desk staff. I actually saw blonde worker answer the phone laughing out loud from a conversation she was having with the other staff member. I guess I'm old school when waiting rooms were a little more professional and dignified.
Very friendly and helpful and takes the time to answer any and all questions 😊
Since I was having an issue, they had me come in immediately. Dr. Jason did not stop examining my eye until he found the problem. Everyone in the office is awesome!
Great eye center, limited wait, friendly staff and doctors, very thorough in exam.
Progression Of Keratoconus
Keratoconus is a little-understood disease with an uncertain cause, and the course of its progression following diagnosis is unpredictable. The associated deterioration in vision, if in both eyes, can affect the person’s ability, for example, to drive a car legally. It does not, however, lead to blindness, and in most cases, corrective lenses are effective enough to allow the patient to continue to drive and likewise function normally. Further progression of the disease may lead to a need for surgery. A condition called post-LASIK ectasia (PLE) is a rare occurrence after LASIK which is treated the same as keratoconus.
Corneal Collagen Cross-Linking
This procedure has been shown to be very effective at slowing the progression of keratoconus. Corneal cross-linking (CXL) is a 15 minute office procedure that strengthens the cornea if it’s been weakened by keratoconus or other corneal disease. It’s use in LASIK or PRK is currently being studied; rarely it can be helpful after LASIK if the cornea seems to be unstable.
How Does Corneal Cross-Linking Work?
The minimally invasive CXL procedure involves applying liquid riboflavin (vitamin B2) to the surface of the eye, followed by treatment with a controlled application of ultraviolet light, to eliminate corneal ectasia or weakness.
Different Types Of Corneal Cross-Linking
The two basic types of corneal cross-linking are:
- Epithelium-off CXL. In this type of cross-linking procedure, the thin outer layer (epithelium) of the cornea is removed to allow the liquid riboflavin to more easily penetrate the corneal tissue.
- Epithelium-on CXL. In this procedure (also called transepithelial CXL), the protective corneal epithelium is left intact, requiring a longer riboflavin “loading” time.
Combining Corneal Cross-Linking With Other Procedures
Corneal crosslinking also can be combined with other procedures for keratoconus treatment.
The Cross-Linking (CXL) would ideally be applied early in the disease or when progression (worsening) is occurring.
Treatment Of Keratoconus (Scleral Lenses or Rigid Gas Perm Contacts)
Dr. Bradley Kubis performs contact lens fits for difficult keratoconus cases utilizing Scleral Lenses or Rigid Gas Perm lenses for patients to obtain their best vision.