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Cornea

Understanding the Cornea and Your Eye Health

Your cornea is the clear, dome-shaped surface at the front of your eye. It plays a vital role in focusing light so you can see clearly. A healthy cornea is essential for good vision, but conditions like keratoconus, corneal scarring, or thinning can affect how well it works. At Harvard Eye Associates, we offer advanced treatments to help protect and restore your corneal health.

Common Corneal Conditions

Some of the most common corneal conditions include:

Dry Eye is a common condition where your eyes don’t produce enough tears, or the tears they do produce evaporate too quickly. This imbalance can lead to irritation, burning, redness, blurred vision, and a feeling like something is in the eye. Dry Eye can be caused by aging, screen time, certain medications, environmental factors, or underlying medical conditions. While uncomfortable, it’s very treatable—an eye care professional can help determine the cause and recommend options to restore comfort and clarity.

A pterygium is a benign, wedge-shaped growth of tissue that develops on the white part of the eye and can extend onto the cornea. It’s often linked to long-term exposure to sunlight, wind, and dry or dusty environments. While small pterygia may cause redness, irritation, or a gritty sensation, larger ones can affect vision by changing the shape of the cornea or covering the pupil area. Treatment ranges from lubricating drops to surgery for more advanced cases. Wearing UV-protective eyewear can help reduce the risk of developing or worsening a pterygium.

A progressive thinning of the cornea that causes it to bulge outward in a cone shape, leading to blurry or distorted vision.

Fortunately, several treatment options are available to manage these conditions and improve your vision.

Corneal Cross-Linking (CXL)

Cross-linking is a non-invasive procedure designed to strengthen a weakened cornea, most commonly used to treat keratoconus. It works by applying special eye drops (riboflavin) to the cornea, followed by controlled UV light exposure. This process helps “cross-link” the collagen fibers in the cornea, making it more stable and less likely to bulge over time.

Benefits of Cross-Linking:

  • Slows or stops progression of keratoconus
  • Helps preserve your vision
  • Safe, outpatient procedure

Scleral Lenses

Scleral contact lenses are large, gas-permeable lenses that rest on the white part of your eye (the sclera) and vault over the cornea. They are ideal for patients with irregular corneas, such as those with keratoconus, post-surgical complications, or severe dry eye.

Why Patients Love Scleral Lenses:

  • Improved comfort and clear vision
  • Customized fit for irregular or sensitive eyes
  • Can be life-changing for patients who can’t wear regular contact lenses

Corneal Tissue Addition Keratoplasty (CTAK)

CTAK (Corneal Tissue Addition Keratoplasty) is an innovative, tissue-sparing alternative to corneal transplant surgery. This procedure involves adding thin layers of donor corneal tissue to reshape and reinforce a weakened or distorted cornea—especially in advanced cases of keratoconus.

Advantages of CTAK:

  • Minimally invasive
  • Preserves your natural cornea
  • Can be combined with cross-linking for even better results

Protecting Your Vision Starts with Expert Corneal Care

If you’ve been diagnosed with keratoconus or have been told you have an irregular cornea, there are more treatment options than ever before. At Harvard Eye Associates, our experienced team uses the latest technology to diagnose, manage, and treat corneal conditions – helping you maintain clear, comfortable vision for years to come.

Schedule Your Corneal Evaluation Today

Don’t wait to protect your sight. Contact us today to schedule a comprehensive corneal evaluation and find out if treatments like cross-linking, scleral lenses, or CTAK are right for you.


Our Doctor’s Clinical Trials and Studies

Clinical Trials/Studies

Principal Investigator: Combined Clear Cornea Phacoemulsification, Intraocular Lens Implantation, and 25-gauge Vitrectomy versus only 25-gauge or 20-gauge Vitrectomy for Vitreoretinal Pathology. 2011. Completed.

Textbook

Hovanesian, JA (editor), Pterygium, Techniques and Technologies for Surgical Success, Slack, Inc., 2012

Papers

Aldave AJ, King JA, Kim BT, Hopp L. Corneal copper deposition associated with chronic lymphocytic leukemia. Am J Ophthalmol. 2006 Jul; 142(1):174-6.

Publications

Ye Elaine Wang, Anat Galor, Anna K Junk. Supraciliary Micro-Stent Revision in a Patient with Corneal Edema and Primary Open Angle Glaucoma A Case Report J Glaucoma. 2020 Jan;29(1):e3-e6. doi: 10.1097/IJG.0000000000001407.

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Our Cornea Doctors


Laguna Hills
Laguna Hills
23961 Calle de la Magdalena,
Suite 300
Laguna Hills, California 92653
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San Clemente
San Clemente
665 Camino de los Mares (at Hospital Drive),
Suites 102-103,
San Clemente, California 92673
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Orange
Orange
1010 W. La Veta Ave.,
Suite 175,
Orange, California 92868
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