Scleral lens as a first therapeutic weapon in severe ocular burns

Abstract

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.