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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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.
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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.
Everyone was very kind. I had excellent care from everyone who helped me!
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
I’ve been coming to Roholt for many years. They are fabulous, doctors and staff are wonderful! They have helped me greatly in a couple issues I’ve had!! Highly recommended them!
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Very courteous staff and doctor. Informative, Excellent Dr. Mathie He explained everything to me And told me things I didn’t know good things I appreciate the doctor and the staff thank you
Everyone was very professional and nice. My appointment was taken on time and was completed timely with little waiting.
Roholt’s team of doctors are specialized and amazing. This was my third time at the office. 2019 I had 2 cataracts removed and lenses put in. At that time, Dr. Wohl mentioned that if down the line I get fuzzy vision or webbing to reach back out as they can adjust it with laser. That is what this office visit was for, they checked my sight and then I met back with the Dr. We spoke about the laser treatment and I found it could be done that same time. The process is amazing and the doctor is outstanding.
The employees did their job well.And so, did the doctor totally satisfied. Thank thank you
Got an appointment less than 24 hrs out. Every staff member was professional and helpful. Dr Mathie put me at ease concerning my eye problem. In and out in less than 1 hour.
The office staff is always helpful and nice. Dr. Mathie is very good at explaining and helping me to take care of my eyes.
Nothing but a great experience,never better service,very friendly employees w/ good atmosphere
Always pleasant, professional and knowledgeable. I moved to Central Ohio but make the annual trip back each year because I trust Dr. Celmer and Roholt Institute.
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Everyone is so kind and takes time to explain procedures and answer any questions. I am thankful they are caring for my eyes.
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Thank you Thank you Thank You You listened , and You helped!
Very capable and courteous staff. Professional employees! Thank you for your excellent testing!
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.