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Keratoconus patient scleral lens fitting

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A young Keratoconus patient was kindly referred to us by Dr. Casey at NVision.

He was diagnosed with Keratoconus a few years ago and was fit into Europa scleral lenses by another eye doctor. He claimed that his vision was great with the lenses but the lenses hurt a lot. He stated that he suffered from several corneal abrasions while wearing his scleral lenses and his eyes were constantly red and irritated. He discontinued lens wearers due to the high amount of discomfort and stress.

During his time with us, we reviewed all of his options such as custom soft contact lenses, corneal gas permeable lenses, hybrid lenses and scleral lenses.

He wanted to insert his habitual scleral lenses to see if we could identify the problem, so we inserted his scleral lenses.

You can see that there is thin central clearance and a significant amount of limbal bearing, which was likely leading to his discomfort. I recommended trying a new lens modality or if we continue with a scleral lens, the Latitude would likely provide a more custom fit. He is going to consider all options and get back to us. He is relieved to finally have figured out what the problem was with his current lenses. His last doctor told him to just keep wearing them and he will get used to them, but with this fit, that would be highly dangerous to the eye.

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