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Welcome to our new office location in the Marina Fremont Times Square.

Keratoconus

Keratoconus is a rare, progressive disease that affects the cornea, which is the clear, transparent layer at the front of the eye. The cornea is responsible for focusing the light that comes into your eye onto the retina for clear, sharp vision. Keratoconus causes the corneal tissue to thin out and bulge into a cone-like shape which deflects the light entering the eye and distorts vision.

Causes of Keratoconus

The exact cause of keratoconus is not known. The disease usually starts to appear in the late teens or twenties and can affect one or both eyes, usually progressing at a slow pace and slowing or stabilizing after around 10-20 years. It is believed that there is a genetic component as often it runs in families.

New research suggests that there may be a link between keratoconus and oxidative damage which weakens the cornea. There is also an association with overexposure to ultraviolet (UV) radiation from the sun and chronic eye irritation.

Symptoms of Keratoconus

With the gradual change in the shape of the cornea, vision becomes progressively worse. The patient may experience nearsightedness, astigmatism, distorted vision (straight lines look wavy), blurry vision, light sensitivity and glare, and eye redness or swelling. Typically, patient’s eyeglass prescription will change often as the vision becomes worse and contact lenses will be difficult to wear due to discomfort and improper fit.

When keratoconus become more severe (which usually takes a long time however on occasion can happen rather quickly), the cornea can begin to swell and form scar tissue. This scar tissue can result in even further visual distortion and blurred vision.

Treatment for Keratoconus

In the early stages of the disease, standard eyeglasses and soft contact lenses will usually correct the nearsightedness and astigmatism experienced by the patient. As the disease progresses however, glasses and soft contact lenses may no longer correct vision and soft lenses may become uncomfortable. This is when other forms of vision correction will be recommended.

Gas Permeable and Scleral Contact Lenses
At the more advanced stage of keratoconus rigid gas permeable (RGP) contact lenses, scleral or semi-scleral lenses may be used for increased comfort and visual acuity. Since they are more rigid, RGP and scleral lenses are able to create a smooth, round shape around the cornea, creating a smoother surface for better vision. Scleral or semi-scleral lenses have a larger diameter which covers the entire cornea and reaches over into the white part of the eye, which is known as the sclera. Many patients find these more comfortable than regular RGPs and find that they move around less when the eyes move. The main disadvantage of these rigid lenses is that for some, they are somewhat less comfortable than soft lenses and they must be continually refit as the shape of the eye changes.

Whether it is glasses or contact lenses being used to correct vision, patients will likely have to undergo many tests and prescription changes as their vision needs change.

Intacs
Intacs are small, surgically implanted plastic inserts which are placed on the cornea to flatten it back to shape. Usually they are able to restore clear vision, with the continued use of glasses. Intacs are often recommended when contact lenses and eyeglasses are no longer able to correct vision adequately. Intacs take about 10 minutes to insert and can delay the need for corneal transplant.

Corneal Crosslinking (CXL)
In corneal crosslinking, a UV light and eye drops are used to strengthen and stiffen the cornea which helps to reduce bulging and restore the cornea to its natural shape.

Corneal Transplant
When corneal scarring occurs and eyeglasses and contact lenses no longer help, doctors may suggest a corneal transplant to replace the corneal with healthy donor tissue to restore vision. Most patients will still require eyeglasses or contact lenses for clear vision following the transplant.

Keratoconus is a condition that requires ongoing treatment by a qualified eye doctor. If you or a loved one suffers from this disease make sure that you find an eye doctor that you like and trust to accompany you on this journey.

Dear Valued Patient:

We plan to re-open on May 20, 2020 to a limited schedule by appointment only—please set appointment online or call or email first.

We look forward to see you again soon!  We place the highest priority on the health and safety of our patients and our eye care staff.  Please read below:

Please read the following carefully to prepare for your visit to our office. We are implementing many new and more stringent procedures to ensure the health and safety of our patients and eye care personnel based on guidelines from the Alameda County Health Department and the CDC to help prevent the spread of COVID-19. During this time we are requiring the following for every patient and in-office encounter:

+We are starting with a limited schedule of appointments for better social distancing and for the safety of our patients (thank you in advance for your patience and understanding).

+All visits are by appointment only, there are no walk-in visits available

+All patients are required to wear their own personal mask before entering the office

+All patients are required to check in over the phone before their appointment

+Insurance coverage verifications must be taken care of before entering office for appointment

+Patient will wait outside in car until notified by text or email when they can come in for their appointment, upon entering, patient’s temperature will be taken and their hands sanitized with alcohol cleaner

+There will be no waiting area in the office, patient will be seen right away-please be on time

+Family or caregivers will need to wait outside in the car, as we will only allow patient to enter office.  Verbal consent for minors is acceptable. Updates will be given family or caregiver over the phone as needed.

+All glasses, contact lens orders will be by curb side pick up only—please call or email and we can help you set up a time to pick up your eye wear safely, maintaining social distancing

Our doctors and staff will increase our cleaning and sanitizing protocols:

+We have the latest HEPA air filters with UVC light disinfection to destroy bacteria and viruses

+Wearing protective face shields and surgical masks and medical grade disposable gloves

+All exam equipment and every surface is sanitized fully with hospital grade sanitizer after each patient encounter

+We have a new safe system of disinfection for all frames which have been touched or tried

+We screen all patients by phone to assure they have been healthy prior to their appointment

+All staff and doctors have passed additional training in more stringent sanitizing protocol

Thank you for your patience and compliance to these new and required guidelines. Our goal is to take care of your eye care needs while keeping you and your family healthy. We also want to help our community overcome this pandemic.

We will get through this together.

Please let us know if you have any questions or need more immediate assistance. 

You can set up a future appointment online at EyeCareDrLee.com or send an email to EyeCareDrLee@gmail.com or DrLeongOK@gmail.com  or call 510-668-0877

Please stay safe and stay healthy.

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Stay up to date on our COVID-19 pandamic protocols Read Our Blog Post…

Our office continues to monitor the local health announcements on a daily basis. Optometry is an essential service and we will open to new health guidelines to help our patients while keeping everyone healthy. Please read our blog updates for our open date and new safety guidelines. Let us know if you have any questions or immediate eye care needs. Need contact lenses? Let us know, as we can send orders to you with free shipping.
We are responding faster to direct email:

eyecareDrLee@gmail.com

drLeongOK@gmail.com (for ortho-k)

Thank you, stay safe and stay healthy.

COVID-19 guidelines from CDC: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention-H.pdf