Summary
We present our experience of scleral lens fitting after refractive failure of corneal reshaping surgery. 100 eyes of 90 patients unsatisfied after corneal reshaping surgery: Lasik (55), PKR (15), Radial keratotomy (10) and intra corneal ring segment implantation (20) are enrolled in this retrospective study. Visual acuity outcomes, quality of life using the contact lens impact quality of life (CLIQ) questionnaire and complications of scleral lens wear are discussed.
SummaryPurposeTo demonstrate the spectacular effect of therapeutic scleral lens in healing severe ocular burns.MethodsRetrospective study of 6 eyes with severe ocular burns, complete limbal stem cell deficiency with limbal ischemia in 360°, corneal anaesthesia and resistant to medical treatment for more than 2 weeks without healing tendancy, presenting large complete corneal and limbal ulcer, fitted with therapeutic scleral lens Misa lens (Microlens*, The Netherlands) for continuous daily wear and filled with saline solution and daily control with fluid exchange.ResultsAll eyes had complete re‐epithelialisation in 1–3 weeks under therapeutic scleral lens alone, The healing proccess began from peripheral conjunctival epithelial cells.ConclusionsTherapeutic scleral lens is magic solution to manage severe ocular burns and may be used as first therapeutic weapon.These cases show that epithelial stem cells are presents in all ocular surface not only limbus.
SummaryNowadays, we are experiencing scleral lens rebirth through the development of new designs and materials respecting the anterior ocular surface represented by the cornea, the limbus and the anterior bulbar conjunctiva. But what about the posterior ocular surface, represented by the tarsal conjunctiva, the lid margin and meibomian glands? The interaction of the scleral lens with the posterior ocular surface will be assessed clinically in keratoconus patients wearing scleral lens for more than 2 years and compared in a randomized manner with soft lens, hybrid lens and corneal rigid gas permeable lens wearers and with control sample. Lid wiper epitheliopathy grade, tear film break up time, quality of meibum and meibomian gland trophicity will be compared between different groups…
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