ESCRS - MP12 - SCLERAL AND CORNEOSCLERAL CONTACT LENSES ADAPTATION ISSUES

SCLERAL AND CORNEOSCLERAL CONTACT LENSES ADAPTATION ISSUES

Published 2023 - 27th ESCRS Winter Meeting

Reference: MP12 | Type: Presented Poster & Poster Submission | DOI: 10.82333/1jvv-py94

Authors: Catarina Pestana Aguiar* 1 , Maria João Matias 1 , Raquel Leitão 1 , João Chibante-Pedro 1 , Inês Almeida 1

1Ophthalmology,Centro Hospitalar de Entre o Douro e Vouga,Santa Maria da Feira,Portugal

Purpose

To present two clinical case of contact lenses adaptation issues evaluated through anterior segment optical coherence tomography (AS-OCT).

Setting

Scleral and corneoscleral contact lenses adaptation can be very challenging but the visual outcome in patients with corneal ectasias make the process worthwhile. The ophthalmologist must recognize these issues and use the complementary exams available in order to achieve the best results possible.    

Methods

Clinical cases presentation.

Results

The first case is one of a 72-year-old man with a history of an ectasia post radial keratotomy submitted to a penetrating keratoplasty. A scleral lens was adapted but the patient remained uncomfortable with it due to a conjunctival prolapse visible in the slit-lamp and the AS-OCT. The second case describes a 37-year-old man using a corneoscleral contact lens due to a keratoconus, but with permanent intolerance to it because of the inadequate support of the lens in one of the quadrants that lead to the rapid loss of vault and subsequent discomfort. This incorrect positioning of the lens was detected through the AS-OCT. 

Conclusion

It is important to recognize contact lenses issues in order to improve their adaptation and give patients more comfort and a better quality of vision. Complementary diagnostic exams such as the AS-OCT are an useful tool in the evaluation of patients to approach these inadaptations in better detail.