Vision Therapy in Winter Garden

Keratoconus and Contact Lenses: Finding the Perfect Fit

(407) 656-3755

Understanding Keratoconus: A Vision Disorder

Your cornea, the clear, round, front surface of your eye, is the first ocular tissue that light passes through on its way to the retina. Keratoconus causes the cornea to thin, steepen, and form an irregular cone-shape. This transformation causes light to focus on the retina incorrectly, which leads to distorted vision.

woman putting in contact


What Are the Symptoms of Keratoconus?

There are two primary ways keratoconus affects your vision, and it shows up as:

  • Irregular Astigmatism: The cornea, which typically has a smooth spherical shape, undergoes a transformation into a cone-like structure. This alteration results in a wavy and uneven corneal surface, known as irregular astigmatism.
  • Nearsightedness: As the front part of your eye expands, your vision becomes increasingly nearsighted. This means that you can only see objects clearly when they are up close (however in keratoconus, even objects at near may still appear distorted). Anything at a distance appears blurry.
  • Variable or quickly changing vision. The inability to achieve clear vision in glasses or soft contacts when it had been possible in the recent past.

Recognizing the signs of keratoconus is essential, as early detection can lead to more effective treatment. Keep an eye out for the following symptoms:

  • Double or triple vision when using just one eye
  • Blurriness of objects both near and far
  • Perception of bright lights with halos around them
  • Presence of light streaks
  • The presence of ghost images
  • Persistent blurry vision that affects your ability to drive safely

Scleral Lenses in Winter Garden

Our optometry practice in Winter Garden

Photograph of Neil  Macali
Hours
  • Monday 8:30 am - 6:00 pm
  • Tuesday 8:30 am - 6:00 pm
  • Wednesday 8:30 am - 6:00 pm
  • Thursday 8:30 am - 6:00 pm
  • Friday 8:00 am - 5:00 pm
  • Saturday 7:30 am - 12:00 pm
  • Sunday Closed
Insurance Plans
  • VSP
  • Medicare
  • United Healthcare
  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • Spectera
  • Superior Vision
  • Davis Vision
  • EyeMed

adding contact drops

Causes and Risk Factors: Can it Damage Your Vision?

The precise cause of keratoconus remains unknown. Researchers believe that some individuals may have a genetic predisposition to the condition.

However, several factors have been associated with the development of keratoconus:

Family History: If a family member has been diagnosed with keratoconus, there is an increased likelihood of inheriting the condition. If you have keratoconus, it is advisable to have your children's eyes examined for early signs, by the age of 10 at the latest. Early detection of keratoconus is crucial for successful management and prevention of severe disease.

Certain Medical Conditions: Research has indicated a correlation between keratoconus and systemic conditions such as Down syndrome, Ehlers-Danlos syndrome, osteogenesis imperfecta, retinitis pigmentosa, sleep apnea, Lebers congenital amaurosis, Marfan’s, and other connective tissue disorders.Inflammation: Inflammatory conditions like allergies, asthma, or atopic eye disease have the potential to weaken the corneal tissue over time.

Eye Rubbing: Vigorous and persistent eye rubbing can lead to corneal damage. Excessive eye rubbing can accelerate its progression for individuals already diagnosed with keratoconus.

Patient Reviews
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201 Reviews
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- Nov. 20, 2023
Discovered this place on the fly, and found that the staffs were very friendly and helpful. I needed... a nose pad repair on one of my branded sunglasses, and they were able to find the right pieces to repair immediately. Highly satisfied with the service and recommend this place!
- Nov. 08, 2023
Dr Macali is absolutely amazing. I went the entire weekend with excruciating pain in my left eye. I ... called the office Monday morning to for a emergency appointment, was scheduled for that afternoon and by that evening my pain was gone! Thank you doctor Macali. You are the best!!!
- Oct. 12, 2023
Exceptional customer service sets this eye care store miles apart from any others I've visited! A h... uge shoutout to Manager Andy, who has not only demonstrated an high level of kindness and helpfulness, but has also gone above and beyond to rectify a small mishap with an old pair of frames. The dedication and outstanding treatment I received from him and his team have not only resolved the issue, but have also secured them a customer for life!
- Oct. 07, 2023
Really nice place, I was helped immediately after arriving, Andy who went above and beyond to help m... e out with a specific request and had a smile the entire time. I will recommend this place to all my friends and family.
- Jul. 12, 2023
Highly recommend!!! This was the best experience I have ever had in eye care. I came in with a not e... asy situation and Andy and Maray were beyond patient, helpful, and informative. They were recommended by a friend and they have now gained a new costumer today. I will continue to recommend them to everyone I know. This is the best customer service I have received in a very long time and cannot wait to pick up my new glasses!
- Jun. 21, 2023
Special thanks to Maray and Carlos🌟🌟🌟🌟🌟
- May. 04, 2023
Great location, place opens at 830am not 9am
- Mar. 31, 2023
I recommend the Macali Eye office; all staff was very kind and attentive. Excellent Service!
- Jan. 04, 2023
Robert rocks!!!! He totally fixed my glasses!!!!!!!
- Oct. 28, 2022
Friendly staff, extensive eye exam with options to do extra screening if you would like to pay and t... he building is always clean and neat.
- Aug. 30, 2022
This place is amazing. The staff is wonderful, if you’re looking for great place for your Eyecare ... needs, you have to check out Macali Eye Clinic.
- Aug. 29, 2022
The staff are very friendly and helpful. I really appreciate how the doctor explained things to me a... nd helped me understand some important facts about my eyes. Great experience and highly recommend.
- Aug. 19, 2022
My glasses had become loose and I couldn't read anything. They adjusted them for me with a smile an... d a thank you. Bless you all. I needed my eyes this weekend to work in a hospital in Jax. Thanks again
- Jul. 27, 2022
My partner and I have been clients of Macali Eye Clinic for over 15 years. From scheduling, to exam... s, to eyeglass selections and fitting, everyone there is professional, competent, and genuinely accommodating. And, Dr. Macali has always been thorough with his exam assessments, along with a positive and comfortable bedside manner. Although we don’t have eye insurance, I highly recommend the full exam, because it’s more thorough and a good value, knowing that the annual exam results are also updated in our patient records. As a professional interior designer, I find the physical environment at this facility not only beautiful and carefully thought through, but also stress-free, calming and pleasant. For any type of small business to excel in all of these areas, seems rare these days. Thank you EVERYONE for making our eye exam experience worthwhile and positive… every time!
- May. 11, 2022
(Translated by Google) The attention of the boy who speaks Spanish was excellent, and Doctor Noble w... as very sweet. I am glad that there are people who speak Spanish, so we feel calmer and can communicate when we take the exams 🙂 (Original) La atencion del muchacho que habla español , fue excelente, y la Doctora Noble muy dulce , me alegro que hayan personas que hablen español , asi nos sentimos mas tranquilos y podemos comunicarnos cuando nos hacemos los examenes 🙂
- Apr. 20, 2022
I am very satisfied with the exams and the variety of glasses offered at Otica Macali, but I would l... ike to highlight the excellent service provided by Carlos, for the second year in a row he serves my husband and I with excellence, always kind, with accurate information and agility , a complete and differentiated professional. Thank you Carlos, I wish you much success!!
- Apr. 14, 2022
I have gone to Dr. Macali for over 20 years. Great eye doctor. REQUEST HIM and make sure the staff... confirms that he will be the one seeing you. Very thorough, skilled and professional. This clinic gets very busy so book early. The entire staff is polite, friendly and do their best to get you taken care of in a timely manner.
- Mar. 28, 2022
I switched to Macali Eye Clinic because I wanted a reputable doctor near my new home in Winter Garde... n. The staff at Macali Eye Clinic did not disappoint! They were kind, prompt, professional, and caring. I am so happy to have found a great group of people close to home! I will continue coming to Macali Eye Clinic for years to come.
- Feb. 22, 2022
Top notch eye care! The staff are very professional, and thorough. They have a full suite of equip... ment and conduct a comprehensive eye exam, and prescription determination. They are a bit more expensive than discount optometrists, but you get what you pay for.
- Feb. 17, 2022
Great Clinic! The staff is amazing super friendly and personable. The doctor was great at explaining... everything.

View All 201 Reviews


Scleral Lenses for Keratoconus: The Game-Changer

Keratoconus presents a unique challenge when it comes to vision correction. Traditional gas permeable? contact lenses often prove ineffective as they cannot conform to the irregular corneal shape. This is where scleral lenses step in as an innovative solution.

Here are four compelling reasons to consider scleral lenses for keratoconus:

  • Enhanced Comfort

    Scleral lenses are larger in diameter compared to traditional rigid gas permeable contact lenses, spreading their weight across a broader, less sensitive area, ensuring comfort during extended wear.

  • Improved Vision

    Unlike glasses, which often offer limited visual improvement for keratoconus patients, scleral lenses can significantly enhance vision clarity and stability.

  • Constant Moisture

    Scleral lenses provide a continuous reservoir of moisture between the lens and the eye's surface, ensuring a soothing and moisture-rich environment for the eyes.

  • No More Eye Rubbing

    The design of scleral lenses minimizes the need for eye rubbing by reducing inciting factors of ocular surface and lid inflammation due to allergy response, reducing the risk of further corneal damage and discomfort.


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Experience Clarity with Scleral Lenses from Macali Eye Clinic

Scleral lenses have the potential to provide life-changing improvement in vision clarity and comfort for those battling keratoconus.If you or a loved one has keratoconus and would like to explore the benefits of scleral lenses, schedule a consultation with Macali Eye Clinic today. Your journey to clear vision begins here.[b]

(407) 656-3755