From Keratoconus to 20/20 vision, learn more about the Optique approach.

What is Keratoconus?

Keratoconus is an extremely frustrating condition for patients. Vision often declines through the teen years, starting with simple blurred vision that can be corrected with glasses and off-the-shelf contact lenses. But as the condition progresses, keratoconus makes it difficult to be adequately corrected even with glasses or regular contact lenses. Our patients start noticing starbursting of light at night and blurred vision that just keeps getting worse through the years.

Individualized care to get patients their best possible vision results.

It used to be that the only two treatments for keratoconus were corneal gas-permeable contact lenses (GP lenses) and major corneal transplant surgery (penetrating keratoplasty). Thankfully, there are now much better treatment strategies for patients with keratoconus. Our philosophy at Optique is much more advanced for patients with keratoconus than that at other practices. In other practices, doctors try to keep patients with keratoconus in contact lenses that they feel comfortable fitting for as long as possible: off-the-shelf soft lenses.

At Optique, as soon as we diagnose keratoconus, or see a patient with keratoconus sent by another doctor, we start with the best contact lens possible for that patient. We are comfortable with the more advanced lenses such as GP lenses, hybrid lenses, scleral lenses, or custom powered soft lenses. Then we also determine if corneal surgery would help. In keratoconus, now there are much less invasive surgeries, such as corneal cross-lining or INTACS that can actually slow or stop the progression of keratoconus.

Because the majority of patients in our practice have keratoconus and other serious corneal conditions, we pay particular attention to how we fit and evaluate our contact lenses. Dr. Jeffrey Sonsino is one of the country’s leading experts on contact lenses for keratoconus. He researches, publishes papers, and gives invited lectures around the world on keratoconus and other corneal conditions as well as teaches other optometrists how to fit and evaluate lenses.

It used to be that the only two treatments for keratoconus were corneal gas-permeable contact lenses (GP lenses) and major corneal transplant surgery (penetrating keratoplasty). Thankfully, there are now much better treatment strategies for patients with keratoconus. Our philosophy at Optique is much more advanced for patients with keratoconus than that at other practices. In other practices, doctors try to keep patients with keratoconus in contact lenses that they feel comfortable fitting for as long as possible: off-the-shelf soft lenses.

At Optique, as soon as we diagnose keratoconus, or see a patient with keratoconus sent by another doctor, we start with the best contact lens possible for that patient. We are comfortable with the more advanced lenses such as GP lenses, hybrid lenses, scleral lenses, or custom powered soft lenses. Then we also determine if corneal surgery would help. In keratoconus, now there are much less invasive surgeries, such as corneal cross-lining or INTACS that can actually slow or stop the progression of keratoconus.

Because the majority of patients in our practice have keratoconus and other serious corneal conditions, we pay particular attention to how we fit and evaluate our contact lenses. Dr. Jeffrey Sonsino is one of the country’s leading experts on contact lenses for keratoconus. He researches, publishes papers, and gives invited lectures around the world on keratoconus and other corneal conditions as well as teaches other optometrists how to fit and evaluate lenses.

State-of-the-art technology

We have two technologies used to fit lenses that are not found anywhere else in Tennessee. The first is called a scleral topographer. A scleral topographer uses structured light to map the white part of the eye for its contour. Using this data, we can design custom scleral lenses that more adequately fit the shape of the eye. The second is by taking an impression of the eye’s surface and using special lathes that can create a truly perfect fit for even the most irregular of eyes in keratoconus and other conditions.

But, we do not stop with the fit. In keratoconus, there are almost always complex optics that go hand in hand with the condition. After we achieve a perfect fit, we use Wavefront Aberrometry, which is the most advanced way known to determine the optical characteristics of the eye. Wavefront Aberrometry helps us achieve the absolute best vision possible, sometimes 20/20 or even 20/15 in patients with keratoconus.

keratoconus specialist and treatment at optique of nashville. award winning optometrists
Optique-Keratoconus-300x300

The level of care that we provide at Optique for our patients with keratoconus can simply not be matched. World class care is available in Nashville. And along with our expertise in fitting and evaluating contact lenses, we have also developed expertise in navigating insurance coverage for patients with keratoconus. If your medical or vision insurance policy includes services for keratoconus, we know exactly how to get them to pay for it.

We have two technologies used to fit lenses that are not found anywhere else in Tennessee. The first is called a scleral topographer. A scleral topographer uses structured light to map the white part of the eye for its contour. Using this data, we can design custom scleral lenses that more adequately fit the shape of the eye. The second is by taking an impression of the eye’s surface and using special lathes that can create a truly perfect fit for even the most irregular of eyes in keratoconus and other conditions.

 

But, we do not stop with the fit. In keratoconus, there are almost always complex optics that go hand in hand with the condition. After we achieve a perfect fit, we use Wavefront Aberrometry, which is the most advanced way known to determine the optical characteristics of the eye. Wavefront Aberrometry helps us achieve the absolute best vision possible, sometimes 20/20 or even 20/15 in patients with keratoconus.

keratoconus specialist and treatment at optique of nashville. award winning optometrists
Optique-Keratoconus-300x300

The level of care that we provide at Optique for our patients with keratoconus can simply not be matched. World class care is available in Nashville. And along with our expertise in fitting and evaluating contact lenses, we have also developed expertise in navigating insurance coverage for patients with keratoconus. If your medical or vision insurance policy includes services for keratoconus, we know exactly how to get them to pay for it.

Learn more about Dr. Jeffrey Sonsino

What Nashville is saying about Optique

Optique
4.9
Based on 319 reviews
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Phom Sisoukrath
Phom Sisoukrath
18:53 26 Feb 20
I was looking for an optometrist since I’ve moved to Nashville and made it home now and saw some good reviews for... Optique. My first visit was great and I saw Dr. Michele Sonsino. The entire staff was nice and efficient. The space is easy to access, clean, comfortable, and overall just pleasant. I’m looking forward to future check ups and it’s nice to finally find a place that feels like home. Highly recommend.read more
Jed Burdet
Jed Burdet
17:18 31 Jan 20
I've been to many optometrists over the years and rarely find one that is certain that ALL questions are answered. At... Optique, they listen, insure that you leave satisfied and have a full understanding of your eye health. They take more time finding the best lenses, not just the usual machine work. Excellent service and no long wait time.read more
Lindsay Matlow
Lindsay Matlow
01:10 31 Jan 20
Doesn’t get much better than this!! Wonderful staff. Polite, warming, knowledgeable and efficient. Highly highly... recommend.read more
Tammy Dickenson
Tammy Dickenson
19:25 08 Jan 20
I can’t say enough about these doctors. I really feel like they are the best in the business! I have dry eyes and... require sclera lens. They take the extra time to make sure the fit and vision is as close to perfect as possible. They are kind, compassionate and very professional from the first moment and throughout the entire process. Great people! Great experience!read more
scott mclaurin
scott mclaurin
23:20 30 Dec 19
Dr Jeff Sonsino is the best at what he does. He’s at the forefront of cutting edge technology and his patient... interaction is top notch! Randy is also wonderful at his craft and the two of them are the reason I wouldn’t trust my eye health to anyone else!read more
Hilda Woodard
Hilda Woodard
18:46 30 Dec 19
Love Optique! Dr Jeff & the staff are the best. Our family has been his patients for 10 years & it has always been a 5... star experience. He is the best on ‘all things contacts’ & complicated prescriptions. Optique has a great selection of frames too!read more
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