Thank you Dr. Landin for this kind referral
36 yo HF who has a history of PRK at age 15 and reports that it may have resulted in a scar OS and dry eyes. She prefers soft CL wear over glasses but feels discomfort with the lenses due to her dry eye symptoms. She has tried various artificial tears and lid scrubs with no improvement in comfort.
Her vision in her soft contact lenses were 20/30 OD and 20/80 OS.
She currently wears Biofinity XR toric lenses due to her high prescription.
From her slit lamp evaluation, her corneal scar looked elevated and was surrounded by areas of superficial punctate keratitis. We suspected her dry eye signs to have been exacerbated with the Soft CL mechanically rubbing the elevated area.
From her evaluation, she seemed like a great scleral lens candidate especially with the goal of achieving clearer vision and better comfort with lens wear from her dry eye symptoms.
We dispensed her Europa Scleral lenses and was able to achieve 20/20 vision with both eyes. She reported better comfort in comparison to her habitual lenses. With the scleral lenses vaulting over her cornea, the area of elevation will not be further aggravated and will allow the cornea to heal.