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Interest of scleral lenses in challenging cornea

Poster Details

First Author: M.Mekki ALGERIA

Co Author(s):    S. Yahiaoui   M. Mokhtari   R. Belaoudmou   D. Hartani     

Abstract Details


To determine the efficacy, safety and ease of scleral lens ( Misa Lens from Microlens, Neetherlands ) fitting in the management of very irregular corneas


Cabinet d"ophtalmologie Dr MEKKI, 13 Bis Ben Kara Mohamed El Mansour, El Biar, Algiers


Single center prospective and descriptive study of 100 consecutive patients with irregular cornea (including 51 stage IV keratoconus, 30 pellucid marginal degeneration,3 keratoglobus, 2 corneal scar , 1 keratoconus with failed corneal ring segment implant,2 post-lasik corneal ectasia , 1 irregular cornea after radial keratotomy and 10 irregular corneal graft) in whom rigid gas permeable contact lens failed or pending keratoplasty.


All patients were successfully fitted with Misa scleral lens whatever the degree of corneal ectasia. Mean visual acuity with scleral lens was 20/25, mean continuous time wear was 8 hours, 10 patients had conjunctival redness which disappeared after scleral lens exchange.


Scleral lens is a very attractive solution in the management of challenging irregular corneas.

Financial Disclosure:

... gains financially from product or procedure presented

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