The cornea protects your eye from contaminants like dust and germs. It also functions as a UV filter to protect your eyes from some of the most damaging ultraviolet rays. It performs the function as the eye’s outermost lens, controlling how much light enters the eye like a window shade. The cornea is also like the lens of a camera in that it focuses the entry of light into the eye. When light hits it, it bends the light into the main lens of your eye which refocuses that light onto the retina at the back of your eye. At Vold Vision in Northwest Arkansas, Dr. Steven Vold is certified by the American Board of Ophthalmology make it their mission to care for your corneas with the latest technology and a deep sense of caring.
Corneal Transplant Surgery
"I have been dealing with Glaucoma for the past 25 years. I was put under the care of Dr. Laura Voicu at the Jules Stein Eye Institute at UCLA. She treated me for 18 months and performed Trabeculectomy surgeries on both eyes. Both surgeries were very successful. Dr. Voicuis a very compassionate, knowledgeable, and caring Physician and Surgeon. She is very thorough and carefully explains all aspects of your care. Of the numerous Doctors that have treated my Glaucoma she stands above the rest.Outstanding. I highly recommend Dr. Voicu for the treatment of Glaucoma."- T.D. / Google / Oct 30, 2017
"My husband got lasik with Vold almost a year ago and has zero complaints. He loves it so much! The procedure was quick and easy. The recovery time was so short too. Everyone in the entire clinic was so friendly and knowledgeable. He says it’s one of the best things he’s ever done."- D.M. / Facebook / Sep 21, 2020
"My husband got lasik with Vold almost a year ago and has zero complaints. He loves it so much! The procedure was quick and easy. The recovery time was so short too. Everyone in the entire clinic was so friendly and knowledgeable. He says it’s one of the best things he’s ever done."- D.D. / Google / Sep 21, 2020
"I’m so happy with my SMILE procedure. The procedure was fast, painless and the results for me were instant. Less than 24hours later, I can see 20/20. I had a very high Prescription. Now I don’t have to worry about glasses or contacts. If you want LASIK, SMILE, or LASEK, go to Vold Vision. It’s the best investment I have ever made."- I.Y. / Google / Sep 18, 2020
"I had PRK Lasek done 3 weeks ago at Vold! Everyone has been super nice and friendly from the beginning. Dr. Mcfarland answered all my questions at my consultation and did an excellent job at explaining the process. It helped that he had PRK done as well. Christine was super helpful with the financial piece and was such a sweet resource for me. During my operation, I was super nervous and freaked out. I tend to make things seem much worse than they really are. Karen helped calm me down, made me laugh and was my cheerleader the entire procedure. Dr. Vold was so kind and talked me all the way through it. The procedure was super quick and painless. My recovery wasn’t quick but was gradual. I didn’t have any pain; however, there was some discomfort and light sensitivity in the first 3-5 days. I had headaches the first week after but after that it was much better. Use your prescribed eye drops, get plenty of rest... I took lots of naps the first couple of weeks... and put those preservative free eye drops in the fridge. You’ll thank me later! At my second post op appointment, I was having some haziness on my right eye. Dr. McFarland gave me some Lotemax ointment to put in my eyes at night before bed. That helped tremendously. By my 3rd post op appointment, my right eye had cleared up and had improved to 20/25 vision. My left eye had been 20/20 since the second appointment. PRK has a longer recovery but I feel like it has been worth it! Highly recommend Vold Vision for your eye needs."- C.M. / Google / Sep 12, 2020
Signs and Symptoms
The cornea’s main job is refraction. As mentioned earlier, it acts as a lens that bends, or refracts light to the retina at the back of your eyeball almost as if the retina were film in a camera. However, with a refractive error or corneal disease, the light is bent incorrectly and is not focused exactly on the retinal surface, but before it or after it instead, causing objects to look out of focus, or the image may become dulled or blurred due to a cloudy cornea. If you find yourself experiencing symptoms such as clarity of vision, discharge, itchy or scratchy eyes, contact Vold Vision for a 360-eye exam as soon as possible.
There are a number of eye conditions related specifically to the cornea that can be diagnosed and treated at Vold Vision, including:
Keratitis: This is damage to the cornea that results from infection and /or inflammation. Keratitis can reduce acuity, cause discharge, and erode the cornea. Scarring could also take place, which can harm vision and could ultimately require a corneal transplant.
Dry Eye: People with dry eye produce fewer or lower quality tears so the eyes can’t stay moist enough and ultimately become very uncomfortable. The main symptom is a scratchy or sandy feeling as if something is in the eye. There is a large spectrum of dry eye ranging from simply not making enough tears to moderate and severe ocular surface disease, which involve inflammation and breakdown of the ocular surface as well. Dry eye and ocular surface disease are complex problems that need to be diagnosed and treated with attention to detail in order to improve symptoms and vision.
Corneal Dystrophies: There are over 20 corneal dystrophies which may cause clouding of the cornea. Some cause severe problems while others are minor and only caught during a routine eye exam. Others might cause severe pain. Some of the more common dystrophies are: Fuch’s dystrophy, which leads to corneal swelling and may require a corneal transplant, and keratoconus, the most common dystrophy, which may require corneal collagen cross-linking, rigid contact lenses or in advanced cases, a corneal transplant. Other types include Granular, Lattice, and Map-Dot-Fingerprint (or anterior basement membrane) dystrophy.
Herpes Simplex: This extremely common virus can cause cornea pitting and ulceration, inflammation, and scarring, as well as damage to other parts of the eye and even, elevated eye pressure.
Shingles: Shingles is also a herpes virus that causes problems when the virus that causes chickenpox is reactivated. It can affect the cornea by causing inflammation, scarring and surface ulceration as well as other eye problems.
Pterygium: This is the development of scar tissue from the white part of the eye onto the clear cornea. It can cause astigmatism, corneal warpage, and clouding of the vision. Pterygia can be removed and tissue grafts and anti-scarring mediations can prevent regrowth.
Corneal Collagen Cross-linking
Vold Vision is proud to offer corneal collagen cross-linking for keratoconus and corneal ectasia at our Fayetteville, Arkansas location. As the first provider of this service in the Northwest Arkansas area, we are pleased to announce the minimally-invasive, preventative treatment. Patients no longer need to wait for progression to poor vision to receive treatment for keratoconus. In many cases, we may be able to prevent the need for future corneal transplantation or other more invasive treatments due to these conditions with the one-hour treatment. Rarely, cross-linking may be used to treat other eye disorders such as corneal infections.
Cross-linking is a minimally invasive outpatient procedure that combines the use of UVA light and riboflavin eye drops to add stiffness to corneas which have been weakened by disease or refractive surgery. Cross-linking, which has been performed in Europe since 2003, is considered the standard of care around the world for keratoconus and corneal ectasia following refractive surgery.
Corneal Cross-Linking FAQ
Riboflavin (vitamin B2) is important for growth, red blood cell production and assists in releasing energy from carbohydrates. Its food sources include dairy products, eggs, green leafy vegetables, lean meats, legumes, and nuts. Breads and cereals are often fortified with riboflavin.
Under the conditions used for corneal collagen cross-linking, riboflavin 5’- phosphate, vitamin B2, functions as a photoenhancer which enables the cross-linking reaction to occur.
Ultra-Violet A (UVA)
UVA is one of the three types of invisible light rays given off by the sun (together with ultra-violet B and ultra-violet C) and is the weakest of the three.
A UV light source is applied to irradiate the cornea after it has been soaked in the photoenhancing riboflavin solution. This cross-linking process stiffens the cornea by increasing the number of molecular bonds, or cross-links, in the collagen.
The Cross-linking Process
Collagen Cross-linking is a minimally invasive procedure, which takes approximately one hour, in our minor procedure room. The procedure consists of numbing the eye with drops, then removing the surface epithelial cells in the central cornea. A vitamin solution is then dripped onto the eye, followed by shining a UV light onto the eye for 30 minutes. At the end of the procedure, a contact lens will be put in place to keep the eye comfortable while the eye heals, and antibiotic and anti-inflammatory drops will be used for several weeks. Patients can expect blurry vision and mild irritation for several days after the procedure, followed by stabilization of the cornea shape and mild flattening, which in many cases can result in improved vision and contact lens fit. Contact lenses, when needed, can be re-fit after a few months. The purpose of the procedure is to prevent the progression of keratoconus over time. Rarely, the procedure may need to be repeated a second time.
The Avedro system, which we offer at Vold Vision, is the only FDA approved cross-linking system in the United States. If you have been diagnosed with keratoconus or corneal ectasia, you may be a candidate for collagen cross-linking. Make an appointment with us for a full eye evaluation including corneal topography and thickness measurements. Vold Vision also offers advanced contact lens and scleral lens fitting for keratoconus, as well as corneal transplantation services, for a full spectrum of treatment for keratoconus, ectasia, and other corneal disorders.
Plan Your Procedure
Care for Your Corneas
Corneas are extremely complex and they need to stay clear for clear vision. Whether you suffer an injury, infection or disease, Dr. Vold and our team are with you every step. Vold Vision takes pride in establishing life-long relationships with patients and providing caring and customized support. We invite you to call to schedule a cornea exam at one of our four clinics located across Northwest Arkansas.