Use of Scleral Lenses and Miniscleral Lenses After Penetrating Keratoplasty

Barnett, Melissa; Lien, Vivian; Li, Jennifer Y.; Durbin‐Johnson, Blythe; Mannis, Mark J.

doi:10.1097/icl.0000000000000163

Cited by 42 publications

(44 citation statements)

References 23 publications

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“…In recent years, various studies have shown that scleral mirrors have great advantages for the treatment of ocular surface diseases. Barnett et al [29] reported the use of scleral mirror in 34 patients (48 eyes) with irregular astigmatism after PKP surgery, postoperative review of BCVA, 39.6% of the eyes reached 20/20 and above, 91.7% of the eyes reached 20/40 and above, and with no obvious complications, the results are similar to other scholars in this regard. Harthan [30] used a small scleral lens to treat Graves' eye disease.…”

Section: Scleral Mirrorsupporting

confidence: 73%

The Current Status and New Research Progress of Keratoconus Treatment

Fengyue¹

2019

IJOVS

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Keratoconus is a common non-inflammatory, bilateral progressive corneal dilatation disease, often leading to progressive thinning of the corneal stromal layer, the central region of the cornea is conical, clinical manifestations of high myopia and irregular astigmatism, The normal life of the patient is greatly inconvenient. Therefore, timely and effective treatment is extremely important to improve the visual quality of patients and their physical and mental health. In the early stage of the patient, vision correction can be performed by wearing a frame mirror or a contact lens; as the lesion progresses, the former is insufficient for correction, and corneal stroma implantation, corneal collagen cross-linking, and keratoplasty are feasible. Numerous studies have confirmed that this treatment can effectively improve and maintain the visual quality of patients. In recent years, new treatment methods such as matrix regeneration, matrix lens transplantation and scleral mirror have gradually become research hotspots at home and abroad. This article reviews the current major treatments for keratoconus and its new developments.

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Section: Scleral Mirrorsupporting

confidence: 73%

The Current Status and New Research Progress of Keratoconus Treatment

Fengyue¹

2019

IJOVS

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“…Barnett and Lien reported that one third of ScCL wearers discontinued lens wear due to handling issues. 2 In another report, 25% of patients stated that the most common reason for abandoning ScCL wear was difficulty with application and removal 3 and 20% of patients had challenges with placement of lenses. 4 Other studies showed a much lower rate of abandoning ScCL due to handling problems.…”

Section: Discussionmentioning

confidence: 97%

“…1 Several studies report the common reasons for abandoning ScCL wear to be the difficulty with application and removal. [2][3][4] Whereas, other studies have debunked difficulties with ScCL handling. 1,[5][6][7][8][9][10][11][12] ScCL complications related to handling are rare and most are managed without any lasting side-effects.…”

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confidence: 99%

Scleral Lens Issues and Complications Related to Handling, Care and Compliance

Fadel

Toabe

2018

JCLRS

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Scleral contact lens (ScCL) handling may be challenging and is the principle reason for ScCL drop out. ScCL care systems are more intricate than other lens modalities and include solutions for cleaning, disinfection, storing, rinsing and filling the lens; respecting the use of each solution recommended is fundamental. Replacement of the lenses, solutions, case and plungers are important in order to decrease the risk of adverse events associated with ScCL wear. Compliance is crucial regarding hygiene, solution use, case and plunger care, wear time, follow-up schedule, and handling techniques. Non-compliance may lead to discontinuation of ScCL due to difficulties associated with this unique lens design. This paper presents complications secondary to handling, care and compliance that clinicians and patients may encounter while wearing ScCL. Instructions are provided to enhance the understanding on management surrounding these issues. This manuscript includes three tables to summarize types of complications, their symptoms, clinical signs, etiology, and management for a quick find index for easy consultation during daily clinical practice.

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“…The fluid-filled device allows for healing of the corneal epithelium as well as masking of irregular corneal astigmatism improving best-corrected visual acuity. 64 , 65 Patients should be very closely monitored for signs of corneal edema and acute corneal graft rejection. In addition to careful slit lamp examination, evaluating baseline and follow-up corneal pachymetry and specular microscopy may be considered.…”

Section: Introductionmentioning

confidence: 99%

“…In addition to careful slit lamp examination, evaluating baseline and follow-up corneal pachymetry and specular microscopy may be considered. 64 , 65 Normal endothelial cell density in a healthy adult patient is between 2000 and 2500 cells/mm 2 . The endothelium begins to decompensate when the cell count drops <500–1000 cells/mm 2 , leading to corneal edema, stro-mal haze, and reduced vision.…”

Section: Introductionmentioning

confidence: 99%

Therapeutic uses of scleral contact lenses for ocular surface disease: patient selection and special considerations

Harthan¹,

Shorter²

2018

OPTO

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Scleral lenses are being prescribed for the management of corneal irregularity, uncomplicated refractive error, and ocular surface disease. There are many potential therapeutic uses of scleral lenses in addition to providing similar benefits as corneal gas permeable lenses. Scleral contact lenses are a valuable therapeutic tool for patients with ocular surface disease as these lenses protect the ocular surface, provide continuous corneal hydration while providing optimal visual correction, and are often used in conjunction with other therapies.

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Use of Scleral Lenses and Miniscleral Lenses After Penetrating Keratoplasty

Cited by 42 publications

References 23 publications

The Current Status and New Research Progress of Keratoconus Treatment

The Current Status and New Research Progress of Keratoconus Treatment

Scleral Lens Issues and Complications Related to Handling, Care and Compliance

Therapeutic uses of scleral contact lenses for ocular surface disease: patient selection and special considerations

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