Miniscleral Contact Lens in Pediatric Age Group: Indications, Safety, and Efficacy

Alipour, Fateme; Gohari, Sadra Jamshidi; Azad, Nikoo; Mehrdad, Ramin

doi:10.1097/icl.0000000000000798

Cited by 6 publications

(3 citation statements)

References 32 publications

(37 reference statements)

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“…Four pediatric patients were in this group: two (9 and 11 years) with corneal opacity after traumatic corneal laceration, one (6 years) with corneal opacity due to phlyctenules, and one (9 years) with Peters anomaly. In pediatric patients, corneal transplantation is restricted because of the higher risk of surgeries such as graft rejection and postoperative inflammation [ 17 ]. Scleral lenses are reportedly a safe and helpful modality to provide good visual acuity for corneal disorders in pediatric patients [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…In pediatric patients, corneal transplantation is restricted because of the higher risk of surgeries such as graft rejection and postoperative inflammation [ 17 ]. Scleral lenses are reportedly a safe and helpful modality to provide good visual acuity for corneal disorders in pediatric patients [ 17 ]. The parents of all patients accepted this option to provide the best optical outcomes.…”

Section: Discussionmentioning

confidence: 99%

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Scleral Lens Applications Focused on Korean Patients with Various Corneal Disorders

Lee¹,

Moon²,

Nam³

et al. 2023

Korean J Ophthalmol

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Purpose: We aimed to report on the clinical outcomes of scleral lens applications in Korean patients with various corneal disorders.Methods: This retrospective review was conducted for 62 eyes of 47 patients who had been fitted with scleral lenses for various corneal disorders. The patients were referred for inadequate spectacle-corrected visual acuity and rigid gas permeable (RGP) or soft contact lens intolerance. Uncorrected visual acuity, habitually corrected visual acuity, best lens-corrected visual acuity, topographic indices, keratometry indices, and lens parameters were evaluated.Results: Twenty-six eyes of 19 patients with keratoconus were enrolled. Other conditions included corneal scar (13 eyes of 12 patients), phlyctenules (three eyes), laceration (four eyes), chemical burn (one eye), keratitis (one eye), Peters’ anomaly (one eye), fibrous dysplasia (one eye), ocular graft-versus-host disease (two eyes of one patient), irregular astigmatism (18 eyes of 12 patients), and corneal transplant status (five eyes of four patients). The mean topographic values of the eyes include flat keratometric value (43.0 ± 6.1 diopters [D]), steep keratometric value (48.0 ± 7.4 D), and astigmatism (4.9 ± 3.6 D). Of the eyes fitted with scleral lenses, best lens-corrected visual acuity (0.10 ± 0.22 logarithm of the minimum angle of resolution [logMAR]) was significantly better than the habitually corrected visual acuity (0.59 ± 0.62 logMAR, <i>p</i> < 0.001).Conclusions: Scleral contact lenses are a good alternative for patients with corneal abnormalities and those who are intolerable to RGP contact lenses, resulting in both successful visual outcomes and patient satisfaction, especially concerning keratoconus, corneal scar, and corneal transplant status.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Scleral Lens Applications Focused on Korean Patients with Various Corneal Disorders

Lee¹,

Moon²,

Nam³

et al. 2023

Korean J Ophthalmol

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“…A retrospective study case series of mini-scleral lens use in 72 eyes in patients under the age of 18, found a 60% success rate of children adopting daily wear, suggesting that mini-scleral lenses may be particularly appropriate for use in pediatric patients [19 ▪ ].…”

Section: Introductionmentioning

confidence: 99%

Role of therapeutic contact lenses in management of corneal disease

Wang

Jacobs

2022

Current Opinion in Ophthalmology

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Purpose of reviewThe current review highlights areas of innovation and research in the use of contact lenses in the treatment of corneal ectasia and ocular surface disease.Recent findingsA series of academic reports were published by a committee of experts reviewing evidence-based practice patterns of contact lens use. There continues to be active research in the use of contact lenses in the management of keratoconus, including mini-scleral lenses, custom impression-based scleral lenses and wavefront-guided scleral lenses. Recent reports on contact lenses for ocular surface disease were primarily reviews, retrospective case reports or case series, with publications on contact lens use in corneal epithelial defects, graft-vs.-host disease, limbal stem cell deficiency and neurotrophic keratitis. There are recent publications on advances in drug-eluting contact lenses.SummaryCorneal specialists should be aware of current advances in the field of contact lens expanding their use in corneal ectasia and ocular surface disease.

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The Role of Contact Lenses in the Management of Ocular Surface Disease in Children

Carrasquillo¹,

Brocks²,

Cheung

et al. 2023

Pediatric Ocular Surface Disease

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Miniscleral Contact Lens in Pediatric Age Group: Indications, Safety, and Efficacy

Cited by 6 publications

References 32 publications

Scleral Lens Applications Focused on Korean Patients with Various Corneal Disorders

Scleral Lens Applications Focused on Korean Patients with Various Corneal Disorders

Role of therapeutic contact lenses in management of corneal disease

The Role of Contact Lenses in the Management of Ocular Surface Disease in Children

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