Scleral Contact Lenses in an Academic Oculoplastics Clinic: Epidemiology and Emerging Considerations

Chahal, Harinder Singh; Estrada, Marcela M.; Sindt, Christine W.; Boehme, J.; Greiner, Mark A.; Nerad, Jeffrey A.; Carter, Keith D.; Allen, Richard C.; Shriver, Erin M.

doi:10.1097/iop.0000000000000929

Cited by 18 publications

(11 citation statements)

References 12 publications

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“…In addition to corneal and glaucoma specialists, other ophthalmologic specialties such as oculoplastics, low vision, and ocular oncologists may care for patients with potential indications for scleral lens wear [319]. As scleral lenses become more customary and knowledge of their benefits become more well-known, it is likely that a broader range of patients will benefit from scleral lenses.…”

Section: Other Ocular Specialtiesmentioning

confidence: 99%

BCLA CLEAR - Scleral lenses

Barnett

Courey

Fadel³

et al. 2021

Contact Lens and Anterior Eye

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Section: Other Ocular Specialtiesmentioning

confidence: 99%

BCLA CLEAR - Scleral lenses

Barnett

Courey

Fadel³

et al. 2021

Contact Lens and Anterior Eye

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“…There are numerous case series that describe the successful management of dry eye patients, including those with Sjøgren syndrome, with fluid-ventilated scleral lenses [14,74,147,[262][263][264]. There is a single case report of polymicrobial and microbial keratitis in a Sjøgren patient in association with scleral lens use [265].…”

Section: Sjøgren Syndromementioning

confidence: 99%

BCLA CLEAR – Medical use of contact lenses

Jacobs

Carrasquillo²,

Cottrell

et al. 2021

Contact Lens and Anterior Eye

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The medical use of contact lenses is a solution for many complex ocular conditions, including high refractive error, irregular astigmatism, primary and secondary corneal ectasia, disfiguring disease, and ocular surface disease. The development of highly oxygen permeable soft and rigid materials has extended the suitability of contact lenses for such applications. There is consistent evidence that bandage soft contact lenses, particularly silicone hydrogel lenses, improve epithelial healing and reduce pain in persistent epithelial defects, after trauma or surgery, and in corneal dystrophies. Drug delivery applications of contact lens hold promise for improving topical therapy. Modern scleral lens practice has achieved great success for both visual rehabilitation and therapeutic applications, including those requiring retention of a tear reservoir or protection from an adverse environment. This report offers a practical and relevant summary of the current evidence for the medical use of contact lenses for all eye care professionals including optometrists, ophthalmologists, opticians, and orthoptists. Topics covered include indications for use in both acute and chronic conditions, lens selection, patient selection, wear and care regimens, and recommended aftercare schedules. Prevention, presentation, and management of complications of medical use are reviewed.

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“…149 Scleral contact lenses have also been found to be beneficial in the management of chronic oGVHD. Providing a protective barrier with the additional continuous bathing of the corneal surface has helped to reduced ocular pain and preserve the corneal integrity (150)(151)(152)(153). There are many commercially available lenses including the BostonSight ®PROSE, Visionary Optics Jupiter Scleral™, EyePrintPRO™, and Alden Optical Zenlens™.…”

Section: E16mentioning

confidence: 99%

Chronic Ocular Graft Versus Host Disease: An Update and Review

Groth

Conto

Pasquini

2020

JDED

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An updated comprehensive literature review was completed of chronic ocular graft versus host disease (oGVHD) to identify current and future considerations as to the causes, diagnosis, and treatment of this complication after allogenic hematopoietic cell transplantation (HCT). Graft-versus-host disease involves multiple organ systems, including the eye, and is a leading cause of mortality and morbidity in these patients. This review consisted a comprehensive search of the PubMed, ClinicalTrials.gov and NIH.gov databases. oGVHD is a debilitating and potentially sight threatening condition. Commonly involved ocular structures include the cornea, conjunctiva, meibomian glands, eyelids, lacrimal gland and tear film. Identifying and treating the ocular complications at the early stages may improve final outcomes and quality of life in these patients. Aggressive lubrication, preservation of tear film and inflammation control, including minimizing surface scarring, are treatment goals. Co-management with HCT and other pertinent health care providers is critical for early diagnosis and to initiate prompt therapy to minimize the ocular damage. Stepped therapy, including the use of emerging systemic treatments can be useful in the management of oGVHD with stable visual function, quality of life and complication management as goals of treatment.

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Scleral Contact Lenses in an Academic Oculoplastics Clinic: Epidemiology and Emerging Considerations

Cited by 18 publications

References 12 publications

BCLA CLEAR - Scleral lenses

BCLA CLEAR - Scleral lenses

BCLA CLEAR – Medical use of contact lenses

Chronic Ocular Graft Versus Host Disease: An Update and Review

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