Treatment of Refractory Vernal Ulcers With Large-Diameter Bandage Contact Lenses

Abstract

Large-diameter BCLs may be a useful treatment option in the management of refractory vernal ulcers.

Management of ocular allergy

“…The treatment of corneal ulcer can be based on the Cameron clinical grading of shield ulcers . Contact lenses and/or amniotic membrane grafts may be a useful treatment option in the management of refractory vernal ulcers …”

Treatment of Superior Limbic Keratoconjunctivitis With a Large-Diameter Contact Lens and Botulium Toxin A Treatment of superior limbic keratoconjunctivitis with a large-diameter contact lens and botulium toxin a.

“…So if one tries to use this large-diameter lens, it should require a careful attention and the consent of the patient. Clinically, large-diameter CLs (17.5-25 mm) have been used to treat vernal ulcers, 30 pterygium, 31 leaking trabeculectomy, 32 severe dry eye, 33 and severe ocular surface disease [34][35][36][37] such as Stevens-Johnson syndrome, ocular cicatrical pemphigoid, and Sjogren syndrome. In those reports, most of the lenses were high gas-permeable scleral lenses, and hydrogel lenses in some.…”

Contact lenses and allergy

“…In a recent report, the efficacy of this approach in the successful management of two cases of vernal ulcers refractory to treatment was demonstrated [14]. In one case, the ulcer healed within 2 weeks of the contact lens placement and in the other the patient was able to tolerate topical medications after the ulcer had healed under the lens.…”

“…There are two types of contact lenses in use: rigid scleral lenses and soft hydrogel, silicone lenses or silicone-hydrogel polymer lenses [14]. The former have been in use for over 50 years.…”