BACKGROUND: Scleral contact lenses provide unique therapeutic and vision rehabilitative properties that overcome the therapeutic gaps encountered with conventional contact lens therapies. CASE REPORTS: Four case reports are presented in which serious visual impairment was remediated with the application of scleral contact lenses: kerataconus, Terriens marginal degeneration, penetrating keratoplasty from Fuchs' dystrophy, and Stevens-Johnson syndrome. CONCLUSION: The availability of new and diverse materials--in particular, the use of highly oxygen-permeable materials for scleral contact lenses--has allowed reevaluation of the clinical role of scleral lenses in the management of irregular corneal surface disorders and ocular surface disease.
BACKGROUND: Scleral contact lenses provide unique therapeutic and vision rehabilitative properties that overcome the therapeutic gaps encountered with conventional contact lens therapies. CASE REPORTS: Four case reports are presented in which serious visual impairment was remediated with the application of scleral contact lenses: kerataconus, Terriens marginal degeneration, penetrating keratoplasty from Fuchs' dystrophy, and Stevens-Johnson syndrome. CONCLUSION: The availability of new and diverse materials--in particular, the use of highly oxygen-permeable materials for scleral contact lenses--has allowed reevaluation of the clinical role of scleral lenses in the management of irregular corneal surface disorders and ocular surface disease.
Authors: Anita Ticak; Jason D Marsack; Darren E Koenig; Ayeswarya Ravikumar; Yue Shi; Lan Chi Nguyen; Raymond A Applegate Journal: Eye Contact Lens Date: 2015-11 Impact factor: 2.018
Authors: Jason D Marsack; Ayeswarya Ravikumar; Chi Nguyen; Anita Ticak; Darren E Koenig; James D Elswick; Raymond A Applegate Journal: Optom Vis Sci Date: 2014-10 Impact factor: 1.973