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Ophthalmology & Optometry/Sending again not sure if it went thru

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Question
I was told by my Ophthalmologists that I have a mild case of Keratoconcus, but  a bad Astigmatism in my left eye only.  However, I looked up Keratoconcus on the web and I dont have any symptoms of Keratoconcus.  However, I do have a bad Astigmatism as I said in my left eye.  Yesterday I saw my optometrist where I get my glasses from.  After the exam I picked out frames.  The owner of the eyeglass place who is very knowledgeable told me I must get antiglare put on the lenses and the frames should sit closer to my eyes.

I do have to take off my eyeglasses to read, cannot see the letters/numbers when reading if I wear my glasses, also must take them off to sew. This is on this pair I am wearing now and on my last two pairs of eyeglasses. (Will pick up my new eyeglasses with the antiglare coating in a week).  Also Ido have one problem if a light fixture is above me the glare bothers me and throws me off balance and makes me queasy. This also happens in cars if I am not driving.

What I am wondering is do I really have Keratoconcus or is my problem from my Astigmatism?  The last three Ophthalmologists I have seen confirmed I have a mild case of Keratoconcus even though I told them I do not have one symptom of it.  Also will the anti-glare coating help my problem?

Answer
Debbie,
Thanks for sending again. I think it went through but the notification from AllExperts somehow got filtered into my "spam" folder. I apologize!

Keratoconus is a problem with corneal thinning, and as that change happens, it can cause shifts in astigmatism.  If it gets very dramatic, it can cause other problems like double vision, pain, watering eyes, etc.  In it's early stages, it just mimics normal 'astigmatism.'  The true way to tell is to do something called a corneal topography - which is a quick, in-office procedure where an instruement takes a picture of the front surface of the eye with some concentric rings, and maps out the curves.

If you indeed have keratoconus, it sounds like it is early.  Also to note - it is usually a bilateral disease, in which one eye may be 'affected' first, but eventually both develop signs.

It is fairly common, and usually easy to work with new glasses / Rx changes.  If the glasses become symptomatic then contact lenses work well.  There are also some very cool things going on with research right now to "stop" the progression of this disease, so keep in touch with your doctors regularly (yearly should be fine).

That being said, I would absolutely recommend an antireflective treatment for your glasses.  It will help cut down glare and reflected light, which can improve your performance and decrease discomfort.

If you're having problems, please schedule a followup with your eye doctor!

Good Luck,
Dr.D

Ophthalmology & Optometry

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John M. Dovie, OD, FAAO

Expertise

As a residency-trained Fellow of the American Academy of Optometry I am able to answer most questions regarding eye and vision health. Anything is welcome, ranging from dry or allergy eyes, bifocal contact lenses, or thoughts on LASIK surgery. As I am not a surgeon, detail-oriented surgical-related questions may be better answered by an ophthalmologist.

Experience

Selected to participate in the PCO residency program in Philadelphia at The Eye Institute, where I worked OD and MD specialists gaining invaluable experience in various clinics including glaucoma, cornea and cataract, oculo-plastics, retinal disease, neuro-ophthalmic disease, primary care, emergency medicine, and special populations. Have practiced and trained in numerous settings including hospital, academic, retail and private practice. I earned my Fellowship in the American Academy of Optometry (FAAO). There are currently only about 3000 active fellows worldwide, and there are only about 70 Fellows in the state of Virginia. I currently own and operate my own optometric practice/clinic.

Organizations
American Academy of Optometry, American Optometric Association (Contact Lens/Cornea Section member since 2001), Southwest Virginia Optometric Association, Virginia Tech Alumni Association

Publications
Seminars/Presentations:
“Nyctalopia as the Presenting Sign of Vitamin A Deficiency: A Late Complication of Gastric Bypass Surgery.” Clinical Case Study Poster presented at The American Academy of Optometry Denver, Colorado, December 2006, co-authored with Bradley Lane, OD.
“The Importance of Considering Paranasal Sinus Mucocele as a Differential Diagnosis in Diplopia.” Clinical Case Study Poster presented at The American Academy of Optometry San Diego, California, December 2005, co-authored with Kelly Malloy, OD, FAAO and Cherie Farkash, OD.
“Acute Onset of Halos and Glare: Bilateral Keratitis—An Atypical Presentation of Amiodarone Keratopathy.” Clinical Case Study Poster presented at The American Academy of Optometry Tampa, Florida December 2004. Also Presented to New Jersey Academy of Optometry, Neptune, New Jersey March 2005.
“The Opportunity for an Optometrist to Save a Life.” Clinical Case Study and Grand Rounds Presentation presented at The Pennsylvania College of Optometry, Philadelphia, Pennsylvania, September 2004.
Publications:
“Corneal whorls cause wonder.” Clinical Challenges Quiz, co-authored with Andrew Gurwood, OD, FAAO, Review of Optometry. Published 10/15/2006.
“Acute onset of halos and glare: bilateral corneal epithelial edema with cystic eruptions--atypical presentation of amiodarone keratopathy.” Co-authored with Andrew Gurwood, OD, FAAO. Published February, 2006, Optometry.
“Pondering the posterior polka-dots.” Clinical Challenges Quiz, co-authored with Andrew Gurwood, OD, FAAO, Review of Optometry. Published 5/15/2005.
Professional Involvement:
“AION: Amiodarone-Induced or Anterior Ischemic Optic Neuropathy?” Participated as a peer-review referee for Expert Review of Ophthalmology (London, UK); refereed 10/2006.

Education/Credentials
Bachelor of Science, Cum Laude, Virginia Tech. Bachelor of Science, Pennsylvania College of Optometry. Doctorate (OD), Pennsylvania College of Optometry Residency, Pennsylvania College of Optometry Fellow of the American Academy of Optometry

Awards and Honors
Winner, First Place, "Best Beside Manner" by Our Health Magazine: 2012, 2013, 2014 Winner, First Place, "Best Eye Doctor" by The Roanoke Times: 2013, 2014 Recognized as a Fellow of the American Academy of Optometry, December, 2006 Recipient of the Onofrey G. Rybachok Memorial Scholarship, 2000-2001 Member: The Golden Key International Honor Society Member: The National Biological Honor Society Member: The National Honor Society Eagle Scout awarded 1994

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