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Ocular Surface Disease·San Clemente, Orange County

Lagophthalmos and Exposure Keratopathy Treatment in San Clemente, California

Medically reviewed by Dr. Alexander Bonakdar, O.D. · Updated April 2026

Lagophthalmos is the inability to fully close the eyelids, leaving the cornea exposed to air and mechanical trauma during sleep and throughout the day. Common causes include Bell's palsy (facial nerve paralysis), post-surgical facial nerve damage, thyroid eye disease, and eyelid scarring. The exposed cornea dries out, develops epithelial defects, and can ulcerate or perforate. Scleral lenses provide a sealed moisture chamber that protects the cornea continuously, often eliminating the need for taping the eye shut at night.

San Clemente's coastal conditions—salt air, UV exposure, and wind—can aggravate corneal conditions like lagophthalmos and exposure keratopathy. Sand particles and ocean spray pose additional risks to compromised corneal tissue.

Dr. Bonakdar on Lagophthalmos and Exposure Keratopathy

Direct Answers from Dr. Bonakdar

Dr. Alexander Bonakdar at EyeCare Center of Orange County provides expert lagophthalmos and exposure keratopathy diagnosis and treatment for patients in San Clemente and throughout Orange County. With over 35 years of clinical experience and advanced diagnostic technology, each patient receives a personalized treatment plan based on their specific condition severity and lifestyle needs.

What is Lagophthalmos and Exposure Keratopathy?

Lagophthalmos is the inability to fully close the eyelids, leaving the cornea exposed to air and mechanical trauma during sleep and throughout the day. Common causes include Bell's palsy (facial nerve paralysis), post-surgical facial nerve damage, thyroid eye disease, and eyelid scarring. The exposed cornea dries out, develops epithelial defects, and can ulcerate or perforate. Scleral lenses provide a sealed moisture chamber that protects the cornea continuously, often eliminating the need for taping the eye shut at night.

How is Lagophthalmos and Exposure Keratopathy treated?

Treatment options include Scleral Contact Lens Fitting, Lubricating Ointment at Night, Eyelid Taping or Moisture Chambers, Gold Weight Eyelid Implant. The best approach depends on your specific diagnosis, severity, and lifestyle needs.

What are the symptoms of Lagophthalmos and Exposure Keratopathy?

Common symptoms include Inability to fully close the eye, Dry, red, irritated eye — worse upon waking, Corneal drying and staining, Foreign body sensation, Blurred vision from corneal surface damage. If you experience any of these, a comprehensive eye examination can determine the cause.

What are the symptoms of Lagophthalmos and Exposure Keratopathy?

San Clemente residents may notice symptoms more acutely during outdoor activities—ocean glare, wind, and sand can amplify visual disturbances and discomfort:

  • Inability to fully close the eye
  • Dry, red, irritated eye — worse upon waking
  • Corneal drying and staining
  • Foreign body sensation
  • Blurred vision from corneal surface damage
  • History of Bell's palsy, thyroid eye disease, or facial surgery

How is Lagophthalmos and Exposure Keratopathy treated?

For San Clemente's coastal residents, we consider your active outdoor lifestyle when recommending treatments—ensuring solutions work for beach activities, water sports, and sun exposure:

Scleral Contact Lens Fitting
Lubricating Ointment at Night
Eyelid Taping or Moisture Chambers
Gold Weight Eyelid Implant
Tarsorrhaphy (surgical eyelid closure)
Punctal Occlusion

Lagophthalmos and Exposure Keratopathy FAQs for San Clemente Patients

Common questions from San Clemente patients about our eye care services

At EyeCare Center of Orange County, we diagnose lagophthalmos and exposure keratopathy using advanced diagnostic equipment including corneal topography, OCT imaging, and comprehensive eye examinations. For San Clemente's coastal residents, we also assess environmental factors like UV exposure and salt air irritation that may influence symptoms and diagnosis.
We offer comprehensive treatment options for lagophthalmos and exposure keratopathy including specialty contact lenses, medical therapy, and advanced procedures. We consider San Clemente's active beach lifestyle when selecting treatments—ensuring your correction works for water sports, outdoor activities, and sun exposure.
Call (949) 323-3600 or book online. Initial consultations take 60-90 minutes and include comprehensive testing. We know San Clemente residents value flexibility—we offer early morning appointments so you can still enjoy your coastal afternoons.
We accept most major vision and medical insurance plans including VSP, EyeMed, and Medicare for lagophthalmos and exposure keratopathy diagnosis and treatment. We don't take Medi-Cal. We verify your coverage and discuss costs before any procedures.

Have more questions? Call us at (949) 323-3600

We don't take Medi-Cal

Lagophthalmos and Exposure Keratopathy Care for San Clemente Residents

Corneal conditions like lagophthalmos and exposure keratopathy require specialized diagnostic equipment and clinical experience. Living in San Clemente's coastal environment adds unique considerations—UV exposure, wind, and salt air can influence both symptoms and treatment choices. Our practice uses high-resolution corneal topography and anterior segment OCT to evaluate the cornea's structure layer by layer. This precision is essential for lagophthalmos and exposure keratopathy, where treatment decisions depend on accurate staging and documentation of changes over time. We develop individualized treatment plans that may include medicated drops, specialty lenses, or surgical referral when indicated.

About San Clemente

Spanish Village by the Sea with surf culture and coastal lifestyle

Population: 65,000+

SurfersRetireesBeach lifestyle enthusiastsArtistsMilitary families

Languages Spoken in San Clemente

Our practice serves the diverse San Clemente community. We provide care to patients who speak:

EnglishSpanish

Eye Health Priorities for San Clemente

  • UV damage and photokeratitis from ocean glare
  • Pterygium (surfer's eye) from wind and sun exposure
  • Dry eye from salt air and coastal winds
  • Sports vision needs for water activities

Conveniently Located Near San Clemente Landmarks

Our Orange County practice is easily accessible for San Clemente patients living near:

San Clemente Pier
San Clemente Outlets
Casa Romantica Cultural Center
Trestles Beach
San Clemente State Beach
Richard Nixon Western White House

Getting to Our Office from San Clemente

Drive Time
45 min
Primary Route
5 Freeway
Distance
26.5 mi

San Clemente patients typically reach our Santa Ana office via the 5 Freeway in approximately 45 minutes. Free on-site parking is available in our building.

801 N Tustin Ave, Ste 404, Santa Ana, CA 92705 — Get Directions

San Clemente Neighborhoods We Serve

  • Downtown San Clemente
  • San Clemente Pier Area
  • Talega
  • Marblehead Coastal

Zip codes: 92672, 92673, 92674

Why San Clemente Patients Choose EyeCare Center for Lagophthalmos and Exposure Keratopathy

35+ Years of Experience

Dr. Alexander Bonakdar has served Orange County since 1991, with extensive experience treating lagophthalmos and exposure keratopathy.

Advanced Diagnostics

OCT imaging, corneal topography, visual field testing, and retinal photography for precise diagnosis.

Insurance Accepted

VSP, EyeMed, Medicare, and most major vision and medical insurance plans. We do not accept Medi-Cal.

Convenient for San Clemente

Open Monday through Friday 9 AM – 6 PM with easy access from San Clemente and surrounding communities.

Dr. Alexander Bonakdar, O.D. — Optometrist at EyeCare Center of Orange County specializing in keratoconus and scleral lenses
Dr. Alexander Bonakdar, O.D. — California-licensed Optometrist with 35+ years of specialty contact lens practice. Graduate of the Illinois College of Optometry.

Your Lagophthalmos and Exposure Keratopathy Specialist in San Clemente

Dr. Alexander Bonakdar is a California-licensed Optometrist (O.D.) with over 35 years of experience treating lagophthalmos and exposure keratopathy and complex eye conditions. A graduate of the Illinois College of Optometry, he has helped over 10,000 patients achieve and maintain clear vision.

35+ Years10,000+ PatientsIllinois College of Optometry
Learn more about Dr. Bonakdar →

Patient Stories from San Clemente

See why your neighbors in San Clemente trust us with their vision.

Comprehensive Exam

"Not a fan of getting my eyes checked but the receptionist and Dr. were very nice and eased my anxiety."

emily garcia
Santa Ana, CA

Comprehensive Exam

"I came back for my yearly visit and had a great experience as always."

Eduardo arias
Santa Ana, CA

Schedule Your Lagophthalmos and Exposure Keratopathy Consultation

Expert diagnosis and treatment for San Clemente and Orange County residents.

Call (949) 323-3600

We don't take Medi-Cal