Bolt Eye Group · Keratoconus

Clear vision with keratoconus

Keratoconus makes the cornea thin and bulge into a cone shape. We find it early with corneal topography and help you see clearly with specialty contact lenses.

Corneal topography · Scleral and specialty lenses · Cross-linking referrals

Find it earlyCorneal topography mapping

See clearlyScleral and specialty lenses

Specialty fitsLawrenceville, Canton and more

What is keratoconus?
What is keratoconus?
What are the symptoms of keratoconus?
What are the symptoms of keratoconus?
Keratoconus - Bolt Eye Group

What is keratoconus?

A cornea that changes shape.

Normally the cornea is a smooth dome. In keratoconus it thins and bulges forward. That irregular shape bends light unevenly, so vision becomes blurry and distorted, and glasses stop working well. It often starts in the teens or twenties.

01

Blurry, distorted vision

Ghosting, double images in one eye, or streaks around lights.

02

Frequent prescription changes

Your glasses or contacts keep changing, especially astigmatism.

03

Glare and light sensitivity

More glare at night and discomfort in bright light.

Keratoconus risk factors
Risk factors
Types of keratoconus
Types of keratoconus
Very early keratoconus (forme fruste)
Very early keratoconus (forme fruste)

Diagnosis

Corneal topography maps every curve.

Corneal topography makes a detailed color map of the shape of your cornea. It can show keratoconus early, before it is obvious on a regular exam, and lets us track whether it is changing.

  • Eye rubbing, allergies and family history are linked to keratoconus. Try not to rub your eyes.
  • If your keratoconus is getting worse, we refer you for corneal cross-linking, a treatment that strengthens the cornea to help stop it from progressing.
  • We keep tracking your corneal maps after any treatment.
Small, central cone (nipple cone)
Small, central cone (nipple cone)
Larger cone, lower on the cornea (oval cone)
Larger cone, lower on the cornea (oval cone)
Cone covering most of the cornea (globus cone)
Cone covering most of the cornea (globus cone)

Seeing clearly

Contact lenses made for irregular corneas.

01

Scleral lenses

Large rigid lenses that vault over the cornea and rest on the white of the eye. They create a smooth new surface and are very comfortable for many people.

Learn more →
02

Rigid gas-permeable lenses

Smaller rigid lenses that give the eye a smooth surface to see through.

03

Specialty soft and hybrid lenses

Options for some people with milder keratoconus.

Our doctors do our specialty lens fittings, including Dr. Mehdi Kazemzadeh in Lawrenceville and Dr. Mary Elizabeth Brice in Canton. They work with Barbra Williams, COT, COA, who has more than ten years of experience with complex keratoconus fits.

Keratoconus from mild to severe
Keratoconus from mild to severe
Keratoconus - Bolt Eye Group
Corneal cross-linking (CXL)
Corneal cross-linking (CXL)

Questions

Keratoconus questions.

Can keratoconus be cured?

There is no cure, but cross-linking can help stop it from getting worse, and specialty lenses can give most people clear, comfortable vision.

Will I need a corneal transplant?

Most people with keratoconus never need a transplant, especially when it's found early and they're fitted with the right lenses.

Are specialty lenses covered by insurance?

Some medical and vision plans cover medically necessary contact lenses for keratoconus. We will help check your benefits.

Five offices · Book online any time

Book a keratoconus evaluation

Pick your office to book online, or call or text us. Same-day visits are available for red, painful or injured eyes, on the days each office is open.

Bolt Eye Group - Canton
2060 Cumming Hwy Suite 400
Mon – Fri · 9 – 5
770-615-2007
Book Canton
Bolt Eye Group - East Cobb
2255 Sewell Mill Rd #310
Mon – Fri · 8 – 5
770-578-1900
Book East Cobb
Bolt Eye Group - Lawrenceville Family Eyecare
575 Professional Dr Suite 100
Mon – Thu · 9 – 5
Every other Sat · 9 – 2 (by appointment)
678-993-2020
Book Lawrenceville
Bolt Eye Group - Johnson City
1207 N Roan St #200
Mon – Fri · 9 – 5
423-928-1010
Book Johnson City

We accept VSP, EyeMed, Medicare and most major medical plans (BCBS, Aetna, UHC, Cigna, Humana), plus Davis, Spectera and other vision plans. HSA/FSA cards and CareCredit welcome.