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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I’m the 3rd generation in my family to have had a procedure done by Dr Roholt. I was very near sighted and have worn glasses or contacts since i was in first grade. A little over 2 years ago i had ICL surgery and i now have 20/20 vision! It’s so nice to just wake up and see. No more contacts in contacts out everyday. Thank you Dr Roholt and team! God Bless! -David Yoder
Great experience
I appreciate everyone's kindness and prompt attention. I feel confident in their knowledge and ability to give me the most up-to-date care. I honestly look forward to my visits.
First time there - very efficient, professional and a very comfortable environment. Everything was explained throughout each phase of my exam. When I left all my questions were answered and am looking forward to having my cataract surgery. I definitely have confidence in them
Very friendly and efficient. Would advise anyone to see Roholt for their eye care needs.
Great place. I get more than an annual exam at roholt. I get medical treatment for keratoconjunctivitis sicca (dry eye) along with the latest and greatest treatments for presbyopia (can’t see anything up close). Highly recommend Roholt.
Love Roholt Vision, Dr. Mathie and staff. Top Notch
I am new to roholt vision. I was called for my appointment on time. That is a wonderful thing. Thankyou.
Always enjoy my visits at Roholts, the people are so professional and helpful. First name basis andalways work with you on appointments.
It appears that the laser surgery for my glaucoma was successful . Went in and didn’t have to wait. They explained the procedure and asked if I had questions. The nurses were very caring. I was satisfied with my experience.
My visit was mora than hood. I was pleased with my visit and was treated very well.
Excellent! Willing to explain everything.
Roholt vision is an excellent place for all of your vision needs. Doctor Brian Mathie is our eye doctor and he is very professional and caring along with the staff.
Very professional, went to see if I'm getting cataracts and yes I am. That being said he did my lasik 21 yrs ago and I've been great, best drs.for eyes!
I visited Roholt VISION in Alliance where I had cataract surgery at the Alliance surgery center. It was an amazingly wonderful experience. I so appreciate Dr. Celmer and Dr. Kubis. They answered all of my questions, were very friendly and skilled in their profession. I can’t recommend them enough. I’m so glad I chose Roholt for my vision care.
Staff is always friendly and answers all your questions
First visit.Cordial staff,thorough and informative technicians.Satisfied.
Very thorough. Answered all my questions. Everyone was very polite and helpful
very professional experience with Monica and Dr. Mathie
Appointment was kept on time the caretakers were very friendly and informative. What they have done for my eyesight Is wonderful. Still don’t know how they change my green eyes to blue, but I’m happy they did!!
The staff graciously walked me through a complex process. They answered all my questions. Today my vision is the best it has been in 35 years.
Dr Celmer is professional, knowledgeable, and reassuring. Staff is also excellent.
Dr. Kubis was as always, a true gentleman, thorough sincere, very helpful, kind patient professional knowledgeable. I don’t know what we would do without him. He is wonderful.
When I checked i. I was told I wasn’t on the schedule. I replied “ that’s what happened to me at my last appointment “. She put me in and my appointment was great in a likely manner. Now I have to wait on Phil RX and insurance to decide if my prescription approved or denied and if I can get a decent rate.
Thank you, so much Roholt Vision for all your kindness, patience and professionalism shown in every staff member when I was in your office today during my 1st visit. Highly recommended.
The staff was friendly and professional. My exam was thorough and Dr. Celmer examined my inner eyes and determined they were healthy. I was pleased with how I was treated from reception through conclusion. I highly recommend Roholt Vision to all of my friends.
Everyone were so pleasant & helpful!
Always a pleasant experience, always professional.
Awesome staff. Informative and professional Highly recommend!
Doctor Wohl was so helpful and explained the procedures and prognosis clearly. I am confident my vision will improve under his care.
My experience today was very good. Everyone is was very kind and helpful and made me feel very comfortable. Thank you all for going out of your way to make that happen for me!
My visit was very good. Dr Wolh and the woman who was with him were very nice. Glad there was no problem and was, referred for other treatment. Good experience
I had refractive lens exchange surgery done on my right eye. It was painless surgery and the doctor and staff were excellent. I highly recommend the procedure and this vision institute.
This was my first experience with Roholt and I was impressed. The staff is professional, knowledgable and made me feel at ease.
Wait times are always short and the entire staff is friendly and efficient !
Staff is friendly and helpful. Wait time is brief. Dr. Kubis explains things clearly. I have confidence that my eyes are being cared for by a competent staff and have been very pleased with treatment over the years
Everything went well, I'm doing fine. Dr. Wohl and staff were great. Ty.
Everybody was very kind.
Glad to have met Roholt, you were highly recommended by Dr. Zucker!
Very friendly staff, great experience with Dr.Young. Would highly recommend!
Roholt treats me epic! They tolerate my stupid humor and never fail to make me feel heard and seen. Not many medical places you can say that about huh? Amiright? Or amiright? I had cataract surgery in 2018 I think someplace else, and they fixed a few errors that were done back then for me and I’ve never left. I’m old… my vision is amazing, but boy the dry eye. They do everything they can to help me. From the front desk to Dr. Celmer, it’s always worth the visit, and I’m always treated great!
Great staff. Was well taken care of and vision is everything I hoped it would be. Added a goofy pic just because it lets you.
Doctors and staff are all wonderful. A more than acceptable option for your eye lens/cataract issues! Definitely would recommend!
Nice people. Prompt service.
Well treated and informed. I would recommend you to anyone that needs a good excellent eyecare.
From start to finish, all the employees I encountered were very professional and knowledgeable. All of my questions about my sight being blurry due to high blood sugar were answered, most before I even asked them. The technology was impressive and every room was crisp and clean. A great experience overall.
Roholt Vision is highly competent. They were professional, efficient, thorough, and friendly. After the exam they explained all the options available for my vision and recommended a process to follow. 5 Stars!
Dr. Mathie is just the best eye doctor ever. He listens to any concerns I have regarding my condition and gives excellent feedback when I ask questions. He actually cares about his patients and does not talk down to you. He explains everything in great detail. I absolutely recommend him to anyone with glaucoma or cataracts!
Everyone is such a pleasure. They always treat me fantastic. Can not say enough good about their employees
Absolutely the best staff humanely possible everybody's so polite nice helpful and very knowledgeable
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.