Keratoconus San Diego

Keratoconus San Diego Specialty Clinic

The Keratoconus San Diego Clinic at ReVision Optometry is directed by Brian Chou, OD, FAAO, FSLS, and is conveniently located in central San Diego. More than 125 eye doctors have trusted and referred their keratoconus patients to Dr. Chou, extending back to when he practiced in the north San Diego communities of 4S Ranch and Rancho Peñasquitos. Our clinic is just eight miles away from San Diego International Airport, making it easy for patients traveling from other states or internationally. While the average eye care practice may see one or two keratoconus a year, it’s not uncommon for half a dozen keratoconus patients to visit our clinic in a day.

Dr. Chou was honored in 2017 by the National Keratoconus Foundation as their top optometrist in the U.S. His extensive experience in treating keratoconus includes publishing the first U.S. report on Intacs surgery for keratoconus during fellowship training at Jules Stein Eye Institute, UCLA School of Medicine. Subsequently, he served as an FDA clinical investigator of the first SynergEyes hybrid contact lenses for keratoconus. Dr. Chou has written book chapters and numerous articles on keratoconus. He has also presents continuing education courses to other eye doctors at national meetings on the non-surgical management of keratoconus.

The Keratoconus San Diego Clinic at ReVision Optometry is equipped to manage keratoconus with advanced technology including rebound tonometry, automated refraction systems, corneal topography, optical coherence tomography (OCT), pachymetry, and multiple diagnostic contact lens sets including certification for EyePrintPRO to accommodate even the most severe forms of the disease.  The ReVision Optometry staff is familiar with the nuances of submitting necessary contact lens authorizations for keratoconus to Vision Service Plan and EyeMed Vision Care.  Altogether, our team is dedicated to providing state-of-the-art care to allow you to overcome obstacles posed by your keratoconus.

What Is Keratoconus?

Keratoconus is an eye disease in which the cornea, or the clear front dome of the eye, takes on a distorted shape.  Light passing through the distorted cornea into the eye becomes highly aberrated, causing blurred vision, multiple images, and night vision difficulty.  Eyeglasses and disposable soft contact lenses are often ineffective for restoring good vision while LASIK eye surgery is not safe because the cornea in keratoconus is too thin and weak to sustain tissue removal.

The latest research shows that keratoconus has a genetic link and it may affect as many as 1 in 375 individuals.  Although keratoconus usually begins during the teenage years and progresses before stabilizing on its own by the third to fourth decade of life, it is not always diagnosed early.  This is because as an uncommon eye condition, eye doctors do not always look for keratoconus or suspect keratoconus.  Additionally, some forms of keratoconus are so subtle that advanced diagnostic technology is required for detection.

If keratoconus is detected during adolescence at its earliest stage, corneal cross-linking surgery can slow or halt the progression to minimize deterioration of vision. While corneal cross-linking is directed to prevent further vision loss, specialized rigid surface contact lenses are almost always required to restore vision to the maximal potential. Eye doctors like Dr. Chou have the expertise and experience to prescribe these contact lenses which are not cosmetic but deemed by vision benefit plans as “medically necessary.” These rigid surface contact lenses create a smooth artificial light bending surface, covering up the distorted natural cornea in keratoconus.

Although vision rehabilitation with conventional rigid gas permeable contact lenses is straightforward, sustainable wear is often elusive. Regular rigid lens wear is frequently undermined by the instability of the lens on the eye, irritating dust particles getting underneath, and general discomfort related to lens wear. Fortunately, new contact lens technologies – including scleral contact lenses, impression-based prosthetic cover shells and SynergEyes hybrid contact lenses – have made it possible for qualified eye doctors to remedy the common shortcomings of conventional rigid contact lenses.

Keratoconus San Diego Learning Center

Selected Publications on Keratoconus by Dr. Chou