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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Always a very professional encounter from the front desk people to the medical assistants to the doctors. Highly recommended.
Very nice staff and Doctor! Appointment was good! 👍
Everyone was friendly and helpful, answering my questions. Dr. Young and staff was thorough in my examination for cataract surgery.
Great office very professional. Fast appt time
Very kind and professional.
I had to make a last minute appointment today and I was seen right away for the consultation. I am very satisfied with the care and attention given to my condition and the subsequent recommendations and follow up.
Very professional
Outstanding quality care!
Very professional and knowledgeable!!! Amber was very informative and explained every test that I was going through!!! Dr. Roholt was amazing!!!! Very knowledgeable and made me feel at ease about the cataract procedures that I could choose from. Highly recommend!!!!!
My experiences at Roholt Vision over 25+ years have always been completely thorough and efficient with excellent results.
The people who work here are very nice. They have cheerful attitudes . Answered all my questions.
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Quick check up visit in and out and friendly staff.
It was an awesome experience and worth the drive. Very thorough exam and staff very professional. Would highly recommend!! 😊
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Good experience, always very friendly, though when checking you.
Very courteous staff. Excellent, and comfortable eye examination. The staff and Dr answered all questions throughly.
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Staff was super helpful. Wish I would have went here ten years ago....
Friendly, efficient, transparent. An excellent experience.
Super friendly, courteous and professional staff throughout the office!
Everyone was helpful and professional. Take time to care.
For this being the first time going here in Canfield I had an awesome experience. Everyone was friendly and easy to talk to. From the receptionist, person doing my test, the doctor and the person setting me up for my cataract surgeries. I felt very comfortable. I would recommend this place to anyone who has eye issues or needs surgeries.
My visits have never fallen short of professional and friendly . Never had a bad visit.
So happy to have the great Dr. Wohl along with the best staff that is always upbeat and happy to be there for their patients! The office in Canfield is amazing!
Dr. Kubis is thorough and takes interest in your eye care. The entire staff is friendly, and most helpful. Dr. Kubis is someone I recommend to my family and friends for complete eye care.
Didn’t have to wait long and the nurse was quite nice.
the nurses were very polite and Dr Roholt explained everything so I could understand
The staff was amazing and friendly. Kayla who was in the room with me and did some testing was exceptional!! Dr. Kubis offered me more information and treatment options than I had been offered at another doctors office with no relief. I am excited to see how much improvement I get. Great experience.
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My exam was very thorough and the staff are friendly and very professional. I feel very fortunate having them in the Canfield area.
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They really take the time to listen to you and answer all your concerns.
Very prompt, pleasant, and thorough. They took the time to listen. Checked my eyes and had a diagnosis very quickly.
The exams I had were like nothing I’ve ever had before. I was so impressed, the staff was so knowledgeable and made me comfortable.
Clean facility, pleasant receptionists, busy day client-wise, but got into see technician and then Dr Kubis in short order. Doctor and technicians very professional, explained everything.
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So Dr Kubis is not only ez on the eyes 😊 but he and his team are approachable kind and most importantly professional. The entire process and steps forward is explained clearly so ur not left w any doubt or questions. Good experience over all.
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Always professional and courteous. Highly recommend. Had my cataracts done and it was a great experience. They answered all questions and helped me relax.
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My experience with Dr Megan Celmer has always been the best . Not only is she a great great surgeon but very accommodating
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.